Walk to End Alzheimer's - Orange / Sullivan Sponsorship Commitment Form
Thank you for your support of the Orange / Sullivan Walk to End Alzheimer's! After completing this form, please email a high resolution image of your logo to lmkaurich@alz.org 
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Email Address *
Company Name (as to be displayed) *
Website
Contact Name *
Mailing Address *
City / State / Zip *
Phone *
Sponsorship Investment *
Payment Method *
Special Instructions / Comments
Utilize this space to provide any questions, comments, or special requests (such as "please address the invoice to ....")
Signature *
By typing my name below, I am electronically signing this agreement
Fine Print
Sponsor warrants and represents that all its products and services comply with all applicable federal, state and local laws and regulations.
Alzheimer’s Association has the right to immediately cancel this sponsorship agreement in the event that Sponsor has:
a) Had its license(s) revoked by any governmental authority exercising jurisdiction over Sponsor;
b) Sponsor has voluntarily surrendered its license(s) after being cited for misconduct by any governmental authority exercising jurisdiction over that party;
c) Sponsor has been alleged to have willfully violated the laws, rules or regulations of any jurisdiction or any governmental authority exercising jurisdiction over Sponsor;
d) Otherwise violated the terms of sponsorship, which will be determined at the sole discretion of the Alzheimer’s Association.

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