MAXimum Impact Fund -- Sponsorship Application


Yes, I want to be a sponsor for the May Event. 
The proceeds of this event will benefit the MAXimum Impact Fund.

Please include me at the following sponsorship level:

$125.00 - Individual Sponsorship - Includes one ticket to event 
and invitation to the sponsor thank you party.

$175.00 - Couple Sponsorship -- Includes two tickets to event 
and invitation to the sponsor thank you party.

$300.00 - Host -- Includes two tickets to event, commemorative cruise 
photo and invitation to the sponsor thank you party.

$500.00 - Benefactor -- Includes two tickets to event, commemorative cruise 
photo, cruise fun pack and invitation to the sponsor thank you party.

I understand my donation is tax deductible to the fullest extent allowed by law. 
Letters specifying this amount will be sent by MAX prior to the event.


Sponsor's Name: ____________________________________________________

Sponsor's Address: _______________________________________

                          ________________________________________

Telephone Number:  _______________________________________

Amount Paid: $ ______________

Method of Payment:   Cash    Check    Credit Card
   Make check payable to MAX, with MAX Fund Cruise on the memo line.

Credit Card Number: _______________________________________

Expiration Date: _____________

Name As It Appears On Card: ____________________________________


Signature: __________________________________________

Send to:
MAX
2261 Market Street #438
San Francisco, CA 94114-1600