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
REFERRAL(S):
Are there People or Organizations in your area that might be willing to work with "16 Things Kids Can Do?"
#1: Contact Name:
#1: Friend,Org.,Club:
#1: Email:
#1: Phone:
#2: Contact Name:
#2: Friend,Org.,Club:
#2: Email:
#2: Phone:
#3: Contact Name:
#3: Friend,Org.,Club:
#3: Email:
#3: Phone:
#4: Contact Name:
#4: Friend,Org.,Club:
#4: Email:
#4: Phone:
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
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
Promotional Give-Aways
All of the Above
For example, we may be in need of:
(1) # of Adverting Pages:
AD PAGES
16
15
14
13
12
11
10
09
08
07
06
05
04
03
02
01
(2) # of Branded Promotional Books:
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) Add'l Custom Promotions:
PROMOTIONS
Board Games
Book Writing
Special Events
Specialty Cards
Other
COMMENTS:
