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THE 4 ANNUAL SAMS SPRINT SPONSOR FORM The Samuel Dustin Clark Foundation, Inc.

9114 Brooks Crossing, Mount Juliet, TN 37122 (615)773-7302 www.samssprint.org

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Dear Prospective Sponsor, Our precious son, Sam, passed away on October 31, 2007, with a diagnosis of SIDS at 5 months old. In honor of Sam and in efforts to keep his memory alive, we have created the Samuel Dustin Clark Foundation, a 501(c)3 non-profit organization. This year the Samuel Dustin Clark Foundation is hosting the 4th Annual Sams Sprint, a 5K run/walk & Kids Run which will begin and end at Charlie Daniels Park in Mount Juliet. The race will take place on September 28, 2013, with festivities/registration beginning at 6:30 A.M., and the race beginning at 8. Each year a donation is made post-race in Sams honor to a community project or other charitable cause. Proceeds from this years race will benefit Nashvilles Alive Hospice and the services they provide to grieving children. We are deeply appreciative for all participation to raise money in memory of our sweet baby boy. This year we are offering four levels of sponsorship for Sams Sprint. Every sponsors name will be on the race day T-shirt, on our organizations website, and in a Mount Juliet paper ad after the event. This alone will reach many, many homes! Sponsors will also be announced the day of the event. This is a great opportunity to help the community AND get your business the recognition it deserves! Sincerely, Herby and Tatum Clark & The Samuel Dustin Clark Foundation, Inc.
(Please return completed form to: The Samuel Dustin Clark Foundation, 9114 Brooks Crossing, Mount Juliet, TN 37122)

****2013 SPONSORSHIP OPPORTUNITIES**** This year, in addition to a T-shirt each 5K participant will also receive a plastic stadium cup with the Sam Sprint logo on one side and a sponsors name on the other side. The cup sponsorship is $750. If you are interested in being the cup sponsor, please e-mail Tatum at samssprint@gmail.com. This will be done on a first come, first serve basis. Thank in advance for your generosity! _______PLATINUM SPONSORSHIP ($1000)

Includes: Separate booth advertising day of event, business name AND logo on race participant T-shirt, link of business website on www.samssprint.org, business name listed in paper ad, and 4 race day vouchers (e-mail logo in .jpg format to samssprint@gmail.com by 9/1/13) _______GOLD SPONSORSHIP ($500) Includes: Business name on race participant T-shirt, link of your business website on www.samssprint.org, business name listed in paper ad, and 3 race day vouchers _______SILVER SPONSORSHIP ($250.00) Includes: Business name on participant T-shirt & website, business name listed in newspaper ad, and two race day voucher _______BRONZE SPONSORSHIP ($150.00) Includes: Business name on T-shirt and website, one race day voucher
Business Name & Address______________________________________________________________ Contact E-mail and/or phone number_______________________________________________________ Contact Person_________________________________________________________________________ Please make all donation checks payable to The Samuel Dustin Clark Foundation, and send in prior to September 1, 2013, to have business names on printed material. Thank you! If youd like to put promotional items in our event cups to be passed out to all participants, please contact Tatum at samssprint@gmail.com

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