Sponsorship Commitment Form Name First Last Company:Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail I would like to sponsor the following:(Required) $10,000 Curesader Level $5,000 Grey Matter Level $2,500 Brain Stem Level $1,000 Mid Brain Level $500 Cerebellum Level $250 Molecular Level As a $10,000 sponsor, you will receive: VIP Event Funder: Announced as a Premier Sponsor at the event. Company logo or name displayed on event banner. Company logo or name displayed on participant t-shirt Corporate mention in print advertising created and displayed pre-event. Company logo displayed on event website. Opportunity to provide corporate giveway for participant goodie bags. Select AllAs a $5,000 Sponsor, you will receive: Company logo or name displayed on event banner. Company logo or name displayed on participant t-shirt Corporate mention in print advertising created and displayed pre-event. Company logo displayed on event website. Opportunity to provide corporate giveway for participant goodie bags. Select AllAs a $2,500 Sponsor, you will receive: Company logo or name displayed on participant t-shirt Corporate mention in print advertising created and displayed pre-event. Company logo displayed on event website. Opportunity to provide corporate giveway for participant goodie bags. Select AllAs a $1,000 Sponsor, you will receive: Corporate mention in print advertising created and displayed pre-event. Company logo displayed on event website. Opportunity to provide corporate giveway for participant goodie bags. Select AllAs a $500 Sponsor, you will receive: Company logo displayed on event website. Opportunity to provide corporate giveway for participant goodie bags. Select AllAs a $250 Sponsor, you will receive: Company logo displayed on event website Company Logo: Our marketing folks have asked that the images be provided in .eps and/or .png formats if possible.Max. file size: 125 MB. Please select your organization’s preferred method of payment: Check Credit Card Other Check made payable to: Southeastern Healthcare Foundation Please contact Event Coordinator Jennifer St. Clair (352-294-8737 or JenniferStClair@ufl.edu) to arrange alternative payment processMemo Line: Cancer Chomp-Fund #4011Mailing Address: UF Dept of Neurosurgery, C/O Jennifer St. Clair PO BOX 100265 Gainesville, FL 32610. Payment Link: Coming SoonSponsors are also entitled to send us promotional items you’d like us to include in the 200 participant swag bags we will put together. Please send any such items to us at one of the addresses listed below no later than October 3, 2026. • USPS: UF Dept of Neurosurgery, C/O Jennifer St.Clair, PO Box 100265, Gainesville, FL 32610 • FedEx/UPS: UF Dept of Neurosurgery, C/O Jennifer St.Clair, 1329 SW 16th St, Suite 3150, Gainesville, FL 32608
