Hickok Center for Brain Injury

How You Can Support Us

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A detailed description of donation opportunities and benefits can be found at the bottom of this form. For any questions or comments please contact Gabrielle at (585) 271-8640 or by email at gHewson@HickokCenter.org.

ANNUAL TAX-DEDUCTIBLE DONATION AND/OR SPONSORSHIP COMMITMENT

Name:

Title:

Organization:

Address:

City/State/Zip:

Phone:

E-mail:

MEDONATION/SPONSORSHIP COMMITMENT PLEDGE

As evidence of our organization’s commitment and support of Hickok Center for Brain Injury and the communities it serves,

Organization Name: is pleased to be a Donor / Sponsor and will donate

Item Description: valued at $ to be used for the services, activities or supplies indicated below:

SERVICE NEEDS
P	Service Needed	Estimated Cost
	Additional Computers for Member Training	$ 6,000
	Art Room Renovation	$ 25,000
	Insulated Windows	$ 25,000
	Internal Electrical Work	$ 350
	New Carpeting & Floors	$ 12,000
	New Furnace	$ 15,000
	New Roof	$ 25,000
	Parking Lot repave	$ 4,000
	Paying Off Wheel Chair-Accessible Van	$ 43,000
	Security Gate upgraded	$ 3,000
	Van for our Newark Center	$ 22,000

ACTIVITY NEEDS
P	Activity Support Needed
	Bush Mango Dance Troupe
	Camping
	Classes at Studio 34
	Continuation of Dazzle School Performance Program
	Day Trip to Meadows of Mendon – Therapeutic Horseback Riding
	Day Trips outside of Rochester/Newark
	Drum Echoes – Therapeutic Music Activity
	Music and Art (RPO, Eastman Presentations, museums, art galleries, etc)
	Permanent Outside Garden/Patio
	Sponsorship of Annual Auction Gala*
	Sponsorship of Annual Bowl-A-Thon*
	Sponsorship of Hickok Helmet Heroes™ combined Art Exhibit/Safety-Awareness/Fundraising Initiative
	Sponsorship of Annual Holiday Open House & Art Show/Sale*
	Sponsorship of Community Service Projects* – Annual Go-Green Initiatives, including gardens, murals and area clean-ups
	Theatre Trips (Geva, Downstairs Cabaret, etc.)

SUPPLY NEEDS
P	Activity Supplies Needed
	Gardening Tools, Perennials and Plants
	Art Supplies (all media)
	Old Bicycle/Skateboard/Sport helmets (ages infants to adults)
	Quality picture frames and matting
	Activity and Event Signage and Banners
	Activity and Event Flowers/Foliage
	Activity and Event Decorations
	Activity and Event Desserts
	Bookshelves and Credenzas
	Outside Storage Shed for gardening and outdoor furniture

Dated:

Printed Name:

Thanks to you, we’re Raising Spirits, Creating Possibilities!

DESCRIPTION OF DONATION OPPORTUNITIES (All Donations are Tax-Deductible)

Annual Sponsorships of $5,000 or more are honored with

Name and logo recognition on event materials, including signage and press releases relating to event/activity sponsored

Acknowledgment by Center representatives during event/activity

Five minutes to address the audience at event/activity on a topic related to brain injury education, research or experience as it pertains to your or your company’s charitable practices and interests in the community

Name and logo prominently displayed on signage for event/activity

Inclusion in any/all event advertising

Special recognition on the Hickok Center for Brain Injury website

Two (2) Reserved Tables (Sixteen (16) complimentary tickets) with table signage for Hickok Center’s Annual Auction Gala and the pre-event donor/sponsor reception (Gala tables/tickets may be donated back to Center to re-donated to Center member family members who could not otherwise afford to attend)

Access to all Hickok Center events leading up to the Gala

Increased visibility with an audience of esteemed business professionals and major philanthropists

Annual Sponsorships of $2,500 are honored with

Acknowledgment by Center representatives during event/activity

Name displayed on signage for event/activity

Inclusion in any/all event advertising

Recognition on the Hickok Center for Brain Injury website

One (1) Reserved Table (Eight (8) complimentary tickets) with table signage for Hickok Center’s Annual Auction Gala and the pre-event donor/sponsor reception (Gala table/tickets may be donated back to Center to re-donated to Center member family members who could not otherwise afford to attend)

Access to all Hickok Center events leading up to the Gala

Increased visibility with an audience of esteemed business professionals and major philanthropists

Annual Sponsorship of $1,000 are honored with

Acknowledgment by Center representatives during event/activity

Inclusion in any/all event advertising

Recognition on the Hickok Center for Brain Injury website

Six (6) Complimentary Tickets to Hickok Center’s Annual Auction Gala and the pre-event donor/sponsor reception (Gala tickets may be donated back to Center to re-donated to Center member family members who could not otherwise afford to attend)

Access to all Hickok Center events leading up to the Gala

Increased visibility with an audience of esteemed business professionals and major philanthropists

Annual Donation Benefactors donating items valued at $1,000 or more are honored with

Acknowledgment by Center representatives during event/activity
Inclusion in any/all event advertising

Recognition on the Hickok Center for Brain Injury website

Six (6) Complimentary Tickets to Hickok Center’s Annual Auction Gala and the pre-event donor/sponsor reception (Gala tickets may be donated back to Center to re-donated to Center member family members who could not otherwise afford to attend)
Six (6) "I Support Hickok Center for Brain Injury" hats

Increased visibility with an audience of esteemed business professionals and major philanthropists

Thanks to you, we’re Raising Spirits, Creating Possibilities!

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