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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