Benefiting Neonatal Intensive Care Unit at Texas Health Harris Methodist Hospital Fort Worth
Saturday, December 12, 2015 ▪ The Fort Worth Club
 
 
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Name:*
                      (Please list as it should appear in printed recognition materials)

 
Contact Name: *
Phone: *    Email: *
Address: *
City: *     State *     Zip: *


Sponsorship Levels (Please indicate the desired level of sponsorship in the box to the left)
Gingerbread Men $5,000
  One reserved table for 10
  Priority seating*
  Signage on your table
  Recognition from the stage at the event
  Recognition in event printed materials
  Recognition in Texas Health Resources Foundation Annual Report
  Exclusive sponsor photo time with Santa from 8:30 to 9:45 a.m.
  Personal phone call from Santa to 4 homes (December 15-17)
 
Toy Soldiers $2,500
  One reserved table for 10
  Priority seating*
  Signage on your table
  Recognition in event printed materials
  Recognition in Texas Health Resources Foundation Annual Report
  Exclusive sponsor photo time with Santa from 8:30 to 9:45 a.m.
  Personal phone call from Santa to 3 homes (December 15-17)
Candy Canes $1,500
  One reserved table for 10
  Priority seating*
  Signage on your table
  Recognition in event printed materials
  Recognition in Texas Health Resources Foundation Annual Report
  Exclusive sponsor photo time with Santa from 8:30 to 9:45 a.m.
  Personal phone call from Santa to 2 homes (December 15-17)
 
 
Sugar Plums $500
  Admission for two adults and two children
  Special reserved seating section*
  Recognition in event printed materials
  Recognition in Texas Health Resources Foundation Annual Report
  Exclusive sponsor photo time with Santa from 8:30 to 9:45 a.m.
  Personal phone call from Santa to one home (December 15-17)
 
 
* Event seating is determined by sponsor level and date commitment is received in writing.
 
 
  Individual Tickets
 
Quantity   I would like to purchase:
  Adult tickets at $50 each (open seating)
  Child (under 12) tickets at $25 each (open seating)
 

    I am unable to attend, please accept my donation of $
 

PAYMENT INFORMATION

*** Amount *  
Card Type:

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Breakfast with St. NICUlas
612 E. Lamar Blvd., Suite 300
Arlington, TX 76011

682-236-5203
Fax: 682-236-5201
AshleyTownsend@TexasHealth.org
TexasHealth.org/Giving

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