2024 Maryland Partnership Commitment Form

CONTACT INFORMATION:

Company or Organization Name (as you would like it to appear in print):

Contact Name *

Contact Title *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Preferred Method of Communication: *

PARTNERSHIP LEVEL:

In Support of (please list the name of the participant or student you are supporting): *

Relationship to Participant: *

Partnership Level: *

Please type in the Donation Amount you would like to donate:
*Please note:If your contribution does not match a standard partnership level, the benefits assigned will match the preceeding level. (Ex. a $20,000 donation will be a Bronze Sponsor) *

Does your business intend to use the benefits that are associated with your sponsorship level?
Some examples could include: Company logo on invitations/event signage, advertisement in our digital program book, tickets to the Grand Finale, etc. *

Yes

No

Additional Notes Additional Notes

Preferred Website for Ad Hyperlink in Digital Program Book:

METHOD OF PAYMENT:

PLEASE NOTE: LLS cannot accept donations for candidate teams until the Student Visionaries of the Year campaign kicks off on the date below:

January 6, 2024

Payment Method *

Would you like an invoice? *

Yes

No

Would you like the invoice sent to an alternate email address than the one listed above?

Donor Signature

I understand this is a commitment, not a payment and agree to pay the above amount in full and by June 30, 2024 in support of The Leukemia & Lymphoma Society's 2024 Student Visionaries of the Year Campaign: *

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Donor Name: *

Date * +

THANK YOU FOR YOUR SUPPORT OF THE 2024 STUDENT VISIONARIES OF THE YEAR CANDIDATE TEAMS!

Certain activations are subject to availability. This Agreement is effective from the date signed until the paymentobligation(s) set forth above are made. Sponsor grants LLS a limited, royalty- free, non-exclusive license to use Sponsor’s name, trademarks, logos and copyrights (“Marks”) solely in connection with this
Agreement. Sponsor shall hold LLS’s confidential and proprietary information in confidence and ensure that it is not disclosed to any third party. Sponsor agrees to indemnify and hold harmless LLS, its employees,
successors, and assigns from all claims and liabilities of every kind incurred by LLS’s use of Sponsor’s Marks or a breach of this agreement by Sponsor. Sponsor will comply with all laws and agrees that its Marks do not infringe the rights of any other person. Sponsor will not assign, transfer or sublicense this Agreement without LLS’s prior written approval.