Let's work together to make

Fort Wayne an All America City !

All America City Sponsorship Form

Donor/Company Name: ________________________________________________________

(As you would like it to appear in any printed materials)

Name and phone number of person to be contacted for additional information:

Name:_________________________________ Phone: (____)_________________________

Fax: (___)____________________ E-mail: ________________________________________

Address:_____________________________________________________________________

City: _________________________________ State:_______ Zip: ___________________

 Yes! My company would like to support the City of Fort Wayne'€™s All America City team!

Please reserve my company the following sponsorship opportunity:

¨ Platinum Level ($10,000)

¨ Gold Level ($5,000)

¨ Silver Level ($2,500)

¨ Bronze Level ($1,000)

¨ Logo enclosed (camera ready, please do not fold. Or e-mail to This email address is being protected from spambots. You need JavaScript enabled to view it.

(Please send logo as soon as possible for inclusion in printed materials)

¨ No, my company is not able to sponsor, but would like to support the All America City team with a donation of: $________

¨ Payment enclosed: $

¨ Please bill me at the above address

If additional information is needed, please contact:

Kerri Przemielewski by phone at 427-1120, or by email This email address is being protected from spambots. You need JavaScript enabled to view it.