Sponsorship Form

Transplant Team of Connecticut, Inc.

Commitment Form

Yes, we are proud to support Transplant Team of Connecticut, Inc. by sponsoring the team.  We hereby authorize the Transplant Team of Connecticut, Inc. to include our name and logo on Transplant Team of Connecticut shirts, programs, and web site, consistent with our sponsorship selection below:

□      Presenting Sponsor                              $25,000

□      Gold Sponsor                                        $10,000

□      Silver Sponsor                                        $5,000

□      Bronze Sponsor                                       $1500

□      Family/Friend Sponsor                              $100

□      Supporter/Sponsor                                      $50

    Name:      ___________________________________________

Company:       ____________________________________________

Address:         __________________________________________

           City:         _______________  State: __________     Zip:______
Phone Number:  _____-____-_________  Fax Number:  _____-____-________

Contact Email Address:  ___________________________________

Our check is enclosed    □ Our check will be mailed separately


To ensure that your company logo is included on the team website, t-shirts and program, please return this form to the following address by April 30, 2012.  You can also send camera-ready artwork or a copy of your logo on disk to:  TTOC, 208 Wilson Street, Fairfield, CT  06825 or you can email a high-resolution jpeg to jopinto3@optonline.net For questions, please feel free to call:  203-767-2162

Please make all checks out to:  Transplant Team of Connecticut, Inc.
They can be mailed to:  PO Box 1073 SMS, Fairfield, CT  06825