Sponsor Registration NameThis field is for validation purposes and should be left unchanged.Please complete the form below to complete your sponsor registration. For additional questions, please contact Corey Menard at corey.menard@paradigmcorp.com Name(Required) First Last Company(Required)Contact Phone(Required)Email(Required) Select Sponsorship Opportunity Golden Harvest Presenting Sponsor - $5,000.00 Leaves & Libations Sponsor - $3,000.00 Autumn Bounty Sponsor $3,000.00 Cozy Keepsake Gift Sponsor -$2,500.00 Lucky Leaf Raffle Sponsor - $1,000.00 Fireside Friend of KCRI - $1,000.00 Scholarship Sponsor – $Unlimited Golden Harvest Presenting Sponsor package includes: • Exclusive event sponsor – only 1 available • Logo on all marketing (print & social media) • Speaking opportunity at event • Reserved “VIP’ table at eventLeaves & Libations Sponsor package includes: • Beverage sponsor • Logo on all marketing (print & social media) • Recognition at event • Bar signage Autumn Bounty Sponsor package includes: • Food sponsor • Logo on all marketing (print & social media) • Recognition at event • Food station signage Cozy Keepsake Gift Sponsor package includes: • Sweatshirt Blanket with KCRI logo • Gifted to each guest as a takeaway • Logo on all marketing (print & social media) • Recognition at eventLucky Leaf Raffle Sponsor package includes: • Logo on raffle signage • Recognition during drawings Fireside Friend of KCRI package includes: • Company sponsorship • Recognition at eventScholarship Sponsor package includes: • Custom scholarship opportunity • In collaboration with KCRI, support one scholarship recipient or family • 100% involvement in the process Scholarship Sponsorship Please enter your desired amount for your custom scholarship sponsorship here.Are you willing to provide a raffle item for the event? Yes No Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Track 15 PVD SponsorshipPayment Type Pay by Check Pay by Credit Card Total Check should be sent to: Kids’ Chance of Rhode Island 260 W. Exchange Street, Suite 101, Providence, RI 02903Credit CardCard #, Expiration MM/YY, CVC code Enter your name as it appears on your card