311 W McGraw Seattle, WA 98119                  Call 206.282.1540 - Fax 206.282.2304  


Queen Anne Helpline
"Share The Harvest" Sponsorship Form

To ensure recognition for your support of this event, complete and send in this sponsorship form along with your check by October 1, 2009. If you have any questions or concerns, please contact Jaime Bagnariol, Auction Coordinator at 206-384-5777 or jaimejac@comcast.net.




Business Name:
Address:
Phone:
Email:
Contact Person:
I would like to participate at the: Cornucopia Level
Harvest Moon Level
Maple Leaf Level
Pumpkin Patch Level
Acorn Level

Instead, I would like to: Underwrite a table for ten




311 W McGraw Seattle, WA 98119 206.282.1540 Fax 206.282.2304 contact@queenannehelpline.org
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