Press Control-P To print and mail this form. I would be pleased to join Domestic Violence Shelter & Services as a sponsor for the 2006 Fashion Show and Auction on April 28, 2006.

Name:__________________ Business Name:____________________ Address:______________________________________________________ City:________________ State ___________ Zip:________________ Phone:_________________

Sponsorship Opportunities (check one):

$5,000 Title Sponsor $1,500 Flower Sponsor $3,000 Printing Sponsor $1,000 Patron $3,000 Dinner Sponsor $500 Underwriter $2,500 Luncheon Sponsor $250 Sponsor $2,500 Benefactor $100 Friend

Check Enclosed Tickets to this event are available for: $35.00 each for the Luncheon (Table of 8 - $280.00) $45.00 each for Dinner (Table of 8 - $360.00) To guarantee your sponsorship, tickets or corporate listing, please complete this form and return it with your check made payable to Domestic Violence Shelter & Services: P.O. Box 1555, Wilmington, NC 28402, Attn: KittyYerkes For additional information or materials regarding this event, please contact KittyYerkes at (910) 343-9969 x 17