Susan G. Komen for the Cure
Sponsor Contribution Registration



Support the 16th Annual Komen Lowcountry Race for the CureŽ

Please note this is NOT race registration.

Name of Company/Organization: *
(Print exactly as it should appear in Race print publications)
* required


Physical Address
(no P.O. box) 
Address *
City *
State *
Zip *
       Mailing Address
Same as Physical Address
Address *
City *
State *
Zip *


Contact Person
Name *
Phone *
Fax
Email *


Corporate Sponsorships
Corporate Sponsorships
Platinum $10,000
Gold $5,000
Silver $2,500
Bronze $1,000
    Specialized Sponsors
Please contact the Komen Lowcountry Affiliate at (843) 556-3343 regarding specialized sponsorships and in-kind sponsorships.

Sponsor Benefit Chart Important Logistics: (depentend on level)
Yes, we would like complimentary booth space in the Race Expo on Race Day

Yes, we will provide a company banner for Race day.
     (max 3'x6', due Mon, Oct. 12, 2009)

Yes, we would like you to include our URL on the Race website.
     URL:

Note: To the extent that a sponsor is unable to meet the obligations outlined, Komen Lowcountry reserves the right to alter the sponsorship level in accordance with the level of obligations actually performed.

Terms and Conditions:
Yes, I have read the terms and conditions and agree to be bound by these terms as a condition of contribution.


Lowcountry Pink for the Cure Competition Yes, I would like to participate in the Lowcountry Pink for the Cure decorating competition. Please drop off the pink window paint provided by Sherwin Williams and the Race poster for me to display in my store window and or office.

Yes, I will make an optional donation of $100 to the Komen Lowcountry Race for the Cure for my participation in Lowcountry Pink for the Cure competition.

other donation amount $


Honor a Loved One with a Pink Flag (QTY) x $500- I would like to purchase a pink flag(s)
In Honor of Memory of:
       Name to be printed on front of Flag:
       Name to be printed on back of Flag:

Your flag will be displayed on a light post(s) on Daniel Island throughout the month of October and will be displayed each year during October for the next three to five years!


: Payment Information