Sponsorship Form

¨    Yes! I will Stay at Home for Wayside at the following level: 

_       Ticket(s) @ $100 each.  You will receive:

·         Listing and link on Wayside’s website

·         Listing in the “Stay at Home for Wayside” program book 

¨ $500 Circle of Friends. You will receive the above, plus:

·         Permanent listing on donor wall at Wayside Campus

¨    $1,250 Silver Circle Sponsor. You will receive the above, plus:

·         Permanent donor tile at Wayside Campus

·         Half-page ad in the “Stay at Home for Wayside” program book 

¨ $2,500 Gold Circle Sponsor. You will receive the above, plus:

·         Permanent naming of a resident bedroom at Wayside Campus

·         Full-page ad in the “Stay at Home for Wayside” program book

¨ $5,000+ Platinum Circle Sponsor.

·         You will receive Silver Circle level benefits, plus your choice of permanent signage at the

         campus  (naming opportunities available upon request).

·         Full-page ad in the “Stay at Home for Wayside” program book 

Total enclosed $                                

Payment Method ¨ Check enclosed (payable to Wayside Youth & Family Support Network)

¨ Credit Card:    ¨ MasterCard   ¨ Visa   ¨ Diners Club