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Winthrop University Hospital

12th Annual Swim-A-Thon

12th Annual Swim-A-Thon to Benefit the
Child Life Program at Winthrop-University Hospital

Sunday, April 21st, 2013
7:00 am to 11:30 am
Hofstra University Swim Center
For more information call (516) 663-4423



PLEDGE PAYMENT FORM

Sponsorships

Premier Sponsor: $5,000
Includes Free Registration for 10, Company Logo signage at Swim Center, listing on WUH website Event page, post event Press Coverage in WUH publications and Mineola Press articles.

Towel Sponsor: $1,000
Company Logo applied to Event towels, along with WUH Logo, Signage at Swim Center and Listing on WUH website Event page.

Refreshment Sponsor: $750
Company Logo at refreshment area, insert in promotion bags, signage at Event and website.

Swim Lane Sponsor: $500
Company Logo at dedicated lane, signage at Event and website.

Dolphin Sponsor: $250
Sponsor this fun event! Rubber dolphins are part of 50/50 raffle. Signage at event and website. Ambitious donor can dive and pluck lucky dolphin out of pool.

I cannot attend, but wish to make a contribution to
        Winthrop’s Child Life Program in the amount of
        $


Your Information

Name


Business Name


Address



City


State


Zip


Phone


Email



I am sponsoring...

Swimmer's Name


Swim Team/School Team


The Swim-A-Thon, In Honor of






Swimmer Registration Form


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259 First Street | Mineola NY 11501 | 516-663-0333


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