2011 Relay For Life

Sponsorship Agreement Form

Midwest Division, Inc.

Corporate sponsorship of the American Cancer Society Relay For Life presents a unique opportunity to reach a wide geographic
cross-section of people who are active in the community while contributing to the fight against cancer. Completely curing cancer is a
goal that everyone wishes would be reached soon. Through sponsorship of the Relay For Life of Marshall County, you would lead
the way in helping those in the community diminish suffering from cancer and raise awareness of cancer prevention until a cure is
found.

Both your company and Marshall County will derive great benefit from participating in this event. Therefore, “my company
requests that our sponsorship is restricted to American Cancer Society prevention, early detection, and patient support programs that
meet approved program guidelines.”

____________________________________________________________________________________________
Company Name

________________________________ _______________________________ _____________

Contact person (print) Contact person (signature) Date

________________________________________
American Cancer Society Volunteer/Staff (print)

________________________________________ __________________
American Cancer Society Volunteer/Staff (signature) Date

Please check one if the sponsorship level secured includes media exposure:

_____ I authorize that information regarding our sponsorship of Relay For Life in Marshall County may be released to any and
all media sources.
_____ Please keep all information regarding our sponsorship of Relay For Life in Marshall County confidential.
_____ I authorize that our monetary contribution not be released to the media, but other aspects of the sponsorship may be
released.

Premier Platinum / Platinum / Gold / Silver / Bronze / Team $_________ (list amount)
(circle one)

Please return this form, and check payable to the American Cancer Society to:

Jeff Nunn
c/o Marshall County Relay For Life
PO Box 1262
Marshalltown, IA 50158

Event Name: Relay For Life of Marshall County Unit Name: Marshall – IA Location Code: MWIMARRFL