Arizona Sunbelt Chapter
Sponsorship
Please mail this form WITH gift certificate/donation to:
Penny Allphin, CHME
Phone: 623-856-1031
pallphin@destinationhotels.com
* If the item can not be mailed, please call to arrange for pick up.
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Company:________________________________________ Contact Name: ____________________________________ Address: _______________________________________ Phone: _____________________ Fax: __________________ E-Mail: __________________________________________ Prize(s) Donated: ___________________________________ ______________________________________________ Value: $ _______________ Expiration Date: ________________ ___Please sign me up to be a part of the Sponsorship/Raffle Committee for the upcoming year! Signature: ________________________________ |