Sponsorship and Advertisement Form 50th Anniversary Noble Hospital Ball Saturday, November 1, 2014 Platinum Sponsor* $20,000 Full Page Ad $1,000 Gold Sponsor* $10,000 1/2 Page Ad $ 750 Silver Sponsor* $ 5,000 1/4 Page Ad $ 450 Copper Sponsor* $ 2,500 1/8 Page Ad $ 300 * Platinum, Gold, Silver, and Copper Sponsors receive: premier seating, a complimentary full page ad in the program book, company logo on all Ball program materials, company name in all press releases and advertisements, online recognition, verbal recognition at event, and much more! * **Please note: Tickets to attend the Noble Ball are not included with Sponsorships.** Please mail your payment & completed form to: Noble Hospital Community Development Office 115 West Silver St PO Box 1634 Westfield MA 01086-1634 Please email your logo or ad by Friday, October 3rd, 2014 to: mmorrill@noblehealth.org Questions & Information: Please call (413) 568-2811 x5520 Ad sizes: Full Page: 5” w x 8” h; Half Page: 5” w x 4” h; Quarter Page: 5” w x 2” h, Eighth of a Page: 2.5”w x 2” h Completed Form, Payment, and Ad are due no later than October 3rd, 2014. Noble Hospital is a 501(c)3 corporation; Federal Tax ID 222-537-423. Your donation is tax deductible to the fullest extent of the law. Please contact us if you need additional tax documentation. Thank you for supporting Noble Hospital! Enclosed is my check in the amount of $ for a Sponsorship. I pledge the amount of $ to be paid by December 31, 2014. I/we would like to use the same ad as last year. I/we will send a new ad. BUSINESS NAME: CONTACT NAME: SIGNATURE: ADDRESS: CITY/STATE/ZIP: E-MAIL: PHONE: