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SPONSOR FORM The Samuel Dustin Clark Foundation, Inc. 9114 Brooks Crossing, Mount Juliet, TN 37122 (615)772-7302

Dear Prospective Sponsor, Our precious son, Sam, passed away on October 31, 2007, with a diagnosis of SIDS at 5 months old. In honor of Sam and in efforts to keep his memory alive, we have created the Samuel Dustin Clark Foundation, a 501(c)3 nonprofit organization. This year the Samuel Dustin Clark Foundation is hosting the 2 nd annual “Sam’s Sprint,” a 5K run/walk & Kids’ Run which will begin and end at Charlie Daniel’s Park in Mount Juliet. The race will take place on October 15, 2011, with festivities/registration beginning at 6:30A.M., and the race beginning at 8:00A.M. Each year a donation is made post-race in Sam’s honor to a community project or other charitable cause. Proceeds from the 2011 race will benefit the building expansion project at Mount Juliet Public Library, which will house a certain area specifically honoring Sam. We are deeply appreciative for all participation to raise money in memory of our sweet baby boy. This year we are offering four levels of sponsorship for Sam’s Sprint. Every sponsor’s name will be on the race day T-shirt, on our organization’s website, and in a Mount Juliet paper ad after the event. This alone will reach many, many homes! Sponsors will also be announced the day of the event. This is a great opportunity to help the community AND get your business the recognition it deserves! Sincerely, Herby and Tatum Clark The Samuel Dustin Clark Foundation, Inc.

------------------------------------------------------------------------------------------------------------****2011 SPONSORSHIP OPPORTUNITIES**** This year, in addition to a T-shirt, each 5K participant will also receive a plastic stadium cup with the Sam Sprint logo on one side and a sponsor’s name on the other side. The cup sponsorship is $750. If you are interested in being the cup sponsor, please e-mail Tatum at This will be done on a first come, first serve basis. Thanks! _______PLATINUM SPONSORSHIP ($1000) Includes: Separate booth advertising day of event, business name AND logo on race participant T-shirt, link of business website on, business name listed in paper ad, and 4 race day vouchers (e-mail logo in .jpg format to by 10/1/11) _______GOLD SPONSORSHIP ($500) Includes: Business name on race participant T-shirt, link of your business website on, business name listed in paper ad, and 2 race day vouchers _______SILVER SPONSORSHIP ($250.00) Includes: Business name on participant T-shirt & website, business name listed in newspaper ad, and one race day voucher _______BRONZE SPONSORSHIP ($150.00) Includes: Business name on T-shirt and website We will also have a SPONSOR TENT this year. If you would like to have any of your company’s promotional items set out on race day, please e-mail Tatum at to arrange drop-off time prior to Oct. 1. PLATINUM level sponsors may bring their own tent, tables, and chairs to set up individually! Business Name & Address______________________________________________________________ Phone Number/Contact Person__________________________________________________________ Please make all donation checks payable to The Samuel Dustin Clark Foundation, and send in prior to October 1st, 20ll to have business names on printed material. Thank you!

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