Page 5 - Monster Mash Sponsor Packet

WELL COMMUNITY
MONSTER MASH HALLOWEEN BASH
SPONSOR and/or UNDERWRITER REGISTRATION FORM
USE THIS FORM TO MAIL IN OR USE QR CODES ON RIGHT TO REGISTER ONLINE
This is for a corporation. This is for a family/individual. I/We wish this gift to remain anonymous.
Name/Company
Address
Sponsor Contact Name
Name for Tax Letter PHANtastic Phantom - $20,000 Sensational Skeleton - $15,000
City Phone
Dramatic Dracula - $10,000 Merry Mummy - $5,000
State Email
Wooly Werewolf - $2,500 Giddy Ghost - $1,000
Entertainment Underwriter SOLD OUT
Zip
Marvelous Monster - $500
Individual TIcket - $150 Number of Tickets ______
Photo Booth - $1,500 Underwriter
Please print exactly as it should appear on any publication, including capitals and abbreviations.
Event Space - $15,000 Food & Beverage Decor - $5,000 Underwriter SOLD OUT Underwriter
I/WE ARE UNABLE TO ATTEND. PLEASE ACCEPT A GIFT IN THE AMOUNT OF $_____________.
I/WE WOULD LIKE TO MAKE A DONATION THROUGH A DONOR-ADVISED FUND IN THE AMOUNT OF $____________.
METHOD OF PAYMENT
Pay online (QR codes below)
Enclosed is my check for $_______________, made payable to Well Community Please charge $_____________________ to my ____ American Express ____Discover This is a pledge to be fulfilled by September 19, 2025.
____Mastercard
____Visa
Card Number Expiration Date
Name of Cardholder (as it appears on the card) Email (required) Signature (required for all forms of payment)
SPONSORSHIP FORM AND PAYMENT MUST BE RECEI VED BY OCTOBER 1, 2025 TO GUARANTEE YOUR NAME WILL BE INCLUDED IN PROMOTIONAL MATERIALS. PLEASE SEND LOGO FOR MARKETING MATERIALS AND WEBSITE AS SOON AS POSSIBLE TO COMMUNICATIONS@WELLCOMMUNITY.ORG
The Well Community is a 501(c)(3) organization, and all sponsorships/underwriting contributions are tax-deductible to the extent allowed by law. MAIL THIS COMPLETED FORM TO: Well Community 125 Sunset Ave. Dallas, TX 75208
and enclose check or pay online using the appropriate QR code below.
Security Code
wellcommunity.org Thank you for your generous support! 214-393-5878