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: firstname.lastname@example.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, email@example.com or 719-260-0744