Mid-Cities Care Corps

November 4, 2010
6:00 – 9:00 P.M.
Hurst Conference Center
1601 Campus Drive
Hurst, TX

Platinum Sponsor $5,000 and up – prime recognition with logo in

program and at event, exhibit/display table,
link to website – one year, one table (8 tickets)
Gold Sponsor $2,500 and up – prime recognition with logo in
program & event, link to website – one year,
one table (8 Tickets)
Silver Sponsor $1,500 and up – recognition in program, link to
website – one year, one table (8 tickets)
Associate Sponsor $500 and up – recognition in program, 4 tickets
Patron Sponsor $250 and up – recognition in program, 2 tickets
Mid-Cities Care Corps is a non-profit 501c(3) organization.
Your contribution is tax deductible.

Company Name (as it appears in all publications): ________________________________________________

Contact Name:________________________Phone:__________________E-mail:_______________
Address: ______________________________City:_________________State:______Zip:_________

Please return this form and make checks payable to: For office use only:
Date Received:__________________
Mid-Cities Care Corps For additional information,
Amount Received:_______________
745 West Pipeline Road please call Duane Buuck or
Received by:____________________
Hurst, TX 76053 Anne Agee at 817-282-0531.
www.midcitiescarecorps.org