*Name:
* E-Mail:
*Telephone #: Ext:
Company:
Occupation/Title:
YOUR PRIMARY INTEREST(S):
16Things Newsletter:
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Subscribe
Unsubscribe
BCL Workshops:
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Start
Attend
Subjects of Interest:
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Education
Health & Hygiene
Health & Nutrition
Life Skills
All Of The Above
Volunteering:
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Yes, with BCL Workshops
Yes, with Fundraising Events
Yes, with Grant Applications
Yes, with Organizational Tie-Ins
Yes, with Public Relations
Yes, with getting Sponsors
Yes, with Any of the Above!
Sorry, No Can Do Now
Donating:
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Cash Donation for 16 Things
Facility for BCL Workshops
Facility for Fundraising Events
Services for Fundraising Events
Silent Auction Items
Are there Organizations in your area that might be willing to work with "16 Things Kids Can Do?" on behalf of Children and Parents? Please List:
Organization 1:
Organization 2:
Organization 3:
HELP US, HELP YOU. A SHORT SURVEY:
Gender?
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Male
Female
Marital Status?
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Doesn't Apply, I'm a Kid
Single
Married
Civil Union
Widowed
Divoriced
Number of Children?
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0
1
2
3
4
5
6
7
8
9 or More
Children's Ages?
Adult Ages in Household?
How many families do you know that would be benefit from this program?
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01-09
10-20
21-35
51-75
76-100
151 - Up
101-150
BACK TO BUSINESS:
> Special Event Fundraising Sponsorships:
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Sponsorship Levels
Title ........ $20,000
Legend .... $15,000
Platinum .. $10,000
Gold ........ $ 7,500
Silver ....... $ 5,000
Bronze ..... $ 2,500
Benefactor $ 1,000
Supporter.. $ 500
Associate... $ 250
Friend ....... $ 100
> Corporate Advertising Information:
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Advertising
Placing Experts
Promotional Give-Aways
All of the Above
> Advertising & PR Agency Information:
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Advertising
Branding
Public Relations
All of the Above
We are interested in "16 Things" books for:
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Advertising
Placing Experts
Promotional Give-Aways
All of the Above
For example, we might be in need of:
EXPERTS
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
09
08
07
06
05
04
03
02
01
(1) # of Experts Placed
AD PAGES
16
15
14
13
12
11
10
09
08
07
06
05
04
03
02
01
(2) # of Adverting Pages
BOOKS
50,000
30,000
25,000
20,000
15,000
12,500
10,000
7,500
5,000
2,500
1,000
500
Other
(3) # of Branded Promotional Books
PROMOTIONS
Board Games
Book Writing
Special Events
Specialty Cards
Other
(4) Add'l Custom Promotions
COMMENTS:
