Harry C. Barnes Memorial Nature
Center 
Indian Rock Nature Preserve
Hart Nature Reserve
Shepard
Nature Preserve
Shangri-La
Preserve
Corporate Sponsorship Application
Contact Name: _______________________________________________________________________________________
Business Name: ________________________________________________________________________________________
Address: _______________________________________________________________________________________
City, State, ZIP _______________________________________________________________________________________
Phone: _____________________ E-Mail: __________________________________________________________
Corporate Sponsorship Classes:
________ Benefactor $5,000.00
________ Patron $2,500.00
________ Sustaining $1,000.00
________ Sponsor $ 500.00
________ Donor $ 250.00
________ Friend $ 100.00
I grant permission for the Environmental Center to use our company’s name and sponsorship class for use in publications, brochures, wall plaques, and other media to acknowledge our membership.
□ I do not want our company’s name used in acknowledgement of our sponsorship.
_________________________________________ _____________
|
Company Representative |
Date |
_________________________________________
Printed Name of Company Representative
Your contribution is tax deductible as allowed by law under section 501 (c) (3) of the Internal Revenue Service Code.
Please make contributions payable to: ELCCT
501 Wolcott Rd.
Bristol, CT 06010