Sponsor Confirmation Form 2017


Company Name: ______________________________________

Address: _____________________________________________

City/State/Zip: ________________________________________

Authorizing Name (please print): _________________________

Title: ____________________Email: _____________________

Phone: ___________________Fax: _______________________


My business is committing to the following level of sponsorship:


________    Orchid Sponsor        $1,000


________    Rose Sponsor        $750


________    Tulip Sponsor        $500


________    Iris Sponsor        $250


________    Basket Sponsor            

___    Your choice -  $________________(retail value)

___     We will donate $125 and would like you to create a basket for us.


________    I cannot attend but would still like to donate to Soroptimist International of Visalia. Enclosed is my check for $_________.


Please make Check payable to SI Visalia.  You can give check and confirmation form to your Soroptimist Contact below, or mail them to:  PO Box 747, Visalia, CA 93279


Please feel free to contact Dorothy Downing, at

dorothy.downing@gmail.com with any questions you may have.

Thank you for your Support!