Event Registration

Joe Henjum Senior Accolades
08/19/2020 04:30 PM - 06:30 PM MT

Ticket Options

Ticket Price Quantity
Table Sponsor
• Recognition from podium • Your company name in the program • Your company name on sponsored table • 6 event tickets
Gold Sponsor
• Recognition from the podium • Your company name and logo in the program • Your company name on a sponsored table • Logo on the Henjum webpage and all advertisements for the event • 8 event tickets
Elite Sponsor
• Recognition from the podium • company name and logo in the program • company name on a sponsored table • company banner at the event • Logo on the Henjum webpage and all advertisements • Logo on our landing page for 2020 *present award on stage(first 3)
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Waiver Statement:

Senior Resource Council Joe Henjum Senior Accolades Contract/Information

Wednesday August 19th, 2020 4:30pm-6:30pm

The Senior Resource Council is excited to put on the Joe Henjum Senior Accolades! This is your opportunity to provide significant, positive interaction for your organization among other area businesses.

SRC Mission: The Senior Resource Council is a nonprofit organization that provides education, information, and networking opportunities to its members for the purpose of enhancing and enriching the lives of seniors.


Name_________________________________________________________________________ Address______________________________________________________________________________ City______________________________________ State ____________ Zip Code_______________________ Phone____________________________ Organization Contact/Representative_______________________________ Email Address _____________________

Please provide an email address you check regularly, as we will communicate with you primarily via email. Representative Cell Phone Number:_________________________________________

By signing below you are agreeing to the following items:

1. The Senior Resource Council is responsible for management of the 2020 Joe Henjum Accolades and for disseminating information about the event.

2. Sponsor releases the Senior Resource Council from any liability and waives any and all demands, claims, and causes of action in law or in equity.

Organization Rep. Signature_____________________________________Date_____________________

PAYMENT Note: Sponsorships only guaranteed upon payment in full.

Payment Options: Check payable to Senior Resource Council. Please mail commitment form and check to: Senior Resource Council 6050 Stetson Hills Blvd. #288 Colorado Springs, CO 80922 Or scan and email to: kelsie@seniorresourcecouncil.org

_____I will pay online with credit card in the amount of $ _____________.

_____Please charge to my Credit/Debit card the following amount $_____________.

Circle one: Visa MasterCard American Express Discover

Name on card:_____________________________ Credit Card number:_________________________________ Expiration Date: ___________ security code: ____________ Billing Address: ___________________________________________________

For more information, please contact Kelsie Heermans, Executive Director, kelsie@seniorresourcecouncil.org or 719-260-0744

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