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Corporate Sponsor $5000

Logo and recognition on all printed materials, on our website KellisKloset.org and any radio
& television ads promoting our event.
Banner recognition on any banners we may display before and on the date of event.
8 Tickets at a reserved VIP Table with Special Guest & Spouse seated at your table.

Level 1 Sponsor $2500

Logo and recognition on all printed materials, on our website KellisKloset.org and any
radio & television ads promoting our event.
Banner recognition on any banners we may display before and on the date of event.
4 Tickets at a Premium Table

Level 2 Sponsor $1000

Logo and recognition on all printed materials, on our website KellisKloset.org


Banner recognition on any banners we may display before and on the date of event.
2 Tickets at a Premium Table

Live & Silent Auction Sponsor

All Auction Sponsors will have the benefit of having the donated Auction Items displayed with recognition.
FORM INSTRUCTIONS: There are 3 separate forms; a form for Tickets, a form for Sponsorship and/or Monetary Donations,

and a form for Auction Donations. Please remit the forms in which you choose to support the foundation by mail at the
above address or by email: rrrichmond@cox.net You will receive an email confirmation including a receipt and/or Ticket
Reservations when the payments are processed.

225.803.9718 | 3052 Du Soliel Court Baton Rouge, LA 70810

Tickets $100 each or $1000 Reserved Table (Seating for 10)

Premium Table for Ten $1000


Single Ticket $100
Multiple Tickets ($100 per Ticket) No. of Tickets desired: _______
* Please Submit this form by mail at the above address or by email: rrrichmond@cox.net

Reservation Name: __________________________________________________________________________________


Phone: (

* Please print name exactly as reservation should be listed at Kellis Party for Ovarian Cancer Awareness

) ____________________________ Email: __________________________________________________

*Required for Ticket Confirmation

Address: __________________________________________________________________________________________

City: ________________________________________ State: ________________ Zip: ____________________________


Mailing Address: ___________________________________________________________________________________

* If different than above

City: ________________________________________ State: ________________ Zip: ____________________________

Ticket Reservation Payment

* Your gift is tax deductible to the extent provided by law. Tax ID # 46-3306008

Cash/Check Total Amount: _________ Credit Card Total Amount: __________ [ Visa/Mastercard Dicover American Express]
Name as it appears on Card: _________________________________________________________________________________

*Required

Card No.# : _________________________________________ Exp Date: _____________Billing Zip: ______________________


Signature: ________________________________________________ Received by: _____________________________________

* Authorized Signatory
Kellis Volunteer
*You will receive a confirmation email with your ticket reservation when the payment is processed. Thanks for your Support!

225.803.9718 | 3052 Du Soliel Court Baton Rouge, LA 70810

Corporate Sponsor $5000

Level 1 Sponsor $2500

Level 2 Sponsor $1000

* Please Submit this form by mail at the above address or by email: rrrichmond@cox.net

Company/Donor Name: ______________________________________________________________________________


Phone: (

* Please print name exactly as reservation should be listed at Kellis Party for Ovarian Cancer Awareness

) ____________________________ Email: __________________________________________________

*Required for Ticket Confirmation

Address: __________________________________________________________________________________________

City: ________________________________________ State: ________________ Zip: ____________________________


Mailing Address: ___________________________________________________________________________________

* If different than above

City: ________________________________________ State: ________________ Zip: ____________________________

Monetary Donations

* Your gift is tax deductible to the extent provided by law. Tax ID # 46-3306008

Cash/Check Total Amount: _________ Credit Card Total Amount: __________ [ Visa/Mastercard Dicover American Express]
Name as it appears on Card: _________________________________________________________________________________

*Required

Card No.# : _________________________________________ Exp Date: _____________Billing Zip: ______________________


Signature: ________________________________________________ Received by: _____________________________________

* Authorized Signatory
Kellis Volunteer
*Please make a copy for your records. Thanks for your Support!

225.803.9718 | 3052 Du Soliel Court Baton Rouge, LA 70810

Auction Sponsor

* Your gift is tax deductible to the extent provided by law. Tax ID # 46-3306008

Donation Description:______________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Estimated Retail Price: ______________________*Required
Donated by: _____________________________________ Signature: _______________________________
* Please Print

Received by: ______________________________________


Kellis Volunteer

*Please make a copy for your records. Thanks for your Support!

Company/Donor Name: ______________________________________________________________________________


Phone: (

* Please print name exactly as reservation should be listed at Kellis Party for Ovarian Cancer Awareness

) ____________________________ Email: __________________________________________________

*Required for Ticket Confirmation

Address: __________________________________________________________________________________________

City: ________________________________________ State: ________________ Zip: ____________________________


Mailing Address: ___________________________________________________________________________________

* If different than above

City: ________________________________________ State: ________________ Zip: ____________________________


* Please Submit this form by mail at the above address or by email: rrrichmond@cox.net

225.803.9718 | 3052 Du Soliel Court Baton Rouge, LA 70810