Come join us atFiesta de Mayo, afundraiserbenefitting theSulzbacher Beaches Clinicand the patients we serve.

Hors d’oeuvres *Beverages*Live Music * and More!

Tuesday, May 2, 2017 5:30 PM – 7:30 PM

Casa Marina Hotel & Restaurant

691 1st Street, N. Jacksonville Beach, Florida

Sponsor Registration

Contact Name ______

Organization ______

Address ______

City ______State ______Zip ______

Best Phone ______Email ______

Sponsorship Levels See reverse for recognition details.

 $5,000 – El Platino (Platinum) /  $2,500 – El Oro (Gold)
 $1,000 – La Plata (Silver) /  $500 – El Bronce (Bronze)

 Please send me of my allotted tickets. (See reverse for ticket info)

 Please donate ______of my allotted tickets to volunteers and/or special guests.

 I’m unable to attend, but would like to make a donation:$______

Recognition

Please indicate how you wish to be recognized for your sponsorship.

Individual or Organization Name______

If your sponsorship level includes logo recognition, please email a high resolution logo to

Another Way to Support the Fiesta!

Amigo de Fiesta! Donate a gift basket, gift certificate, specialty item or unique experience for a Fiesta prize drawingheld during the event to help raise additional funds.

Payment

Method of Payment(circle one) Cash Credit Card Check (#______)

Credit Card Type(circle one) AMEX VISA MasterCard DISCOVER

Card Number # ______Exp. Date ______Billing Zip ______

Mail completed form(with check, if applicable) to: Sulzbacher Center, 611 E. Adams St., Jacksonville, FL 32202.

Sponsorships & general admission tickets will be available soon online at . Look for the Fiesta logo!

Sponsorships & Recognition

All proceeds benefit the Sulzbacher Beaches Clinic.

  • $5,000–El Platino(Platinum):[$4,640 tax deductible]

Name/logo recognition in advertising and marketing promotionsincluding:

Print materials, event web page, social media.

Event signage;event program, night-of-event.

Special seating and Fiesta tickets for 12guests

  • $2,500–El Oro (Gold):[$2,260 tax deductible]

Name/logo recognition in advertising and promotions including:

Print materials, event web page, social media.

Event signage;event program, night-of-event.

Special seating and Fiesta tickets for 8 guests

  • $1,000–La Plata(Silver):[$880 tax deductible]

Name recognition in the event program, event web page, social media.

Fiesta tickets for 4guests

  • $500 –El Bronce(Bronze):[$440 tax deductible]

Name recognition in the event program.

Fiesta tickets for 2 guests

Amigode Fiesta: Gift-in-Kind donation(merchandise, gift card, service, or fun experience for the Fiesta prize drawings). Announcementrecognition during prize drawings; name published in event program.

Complimentary Fiesta admission ticket

Questions?

Contact Linda Hemphill at 904.394.8051or .

Proceeds will support the Sulzbacher Beaches Clinic, a Federally Qualified Healthcare Center run by the Sulzbacher Center for uninsured beaches residents. Last fiscal year the Sulzbacher Beaches Clinic provided 7,983healthcare services during 1,904 patient visits to homeless and impoverished beaches residents.