Company Contact:
Title:
Company/Donor Name:
Email Address:
Street Address:
City:
State:
Zip:
Phone Number:
Fax Number:
SPONSORSHIP COMMITMENT:  Please enter one of the levels listed. Please note – only one organization per sponsorship level, sponsorship benefits may not be split between multiple organizations.
Sponsor Levels: Please select a level Presenting $10,000 Angel $5,000 Faith $2,500 Hope $1,000 Love $500
SILENT AUCTION DONATION
Please describe auction donation:
Auction donation's fair market value of $:
DONATION
I am unable to attend, but would like to support families with autism by providing a donation of $:

Merchandise can be shipped to:
Talk About Curing Autism
P.O. Box 12409, Newport Beach, CA 92658-2409
Phone (949) 640-4401

Talk About Curing Autism is a 501 c (3) non-profit organization
(Tax ID#: 27-0048002)

DEADLINE: Please return form, mail check, certificate or item to the above address by May 1, 2008.

Questions? Please contact Roxanne Hall.