The 31st Annual Tribute Honoring Kim D. Blickenstaff

Friday, November 5, 2021 | Scottish Rite Theatre6:00 pm Reception | 7:30 pm Program & Entertainment

VISIONARY – $100,000 (Seating for up to 60 guests)

Please Charge my MC, VISA, DISC, or AMEX.

My check payable to Easterseals is enclosed

CORNERSTONE – $50,000 (Seating for 40 guests)

INDEPENDENCE – $25,000 (Seating for 20 guests)

EMPOWERMENT – $10,000 (Seating for 8 guests)

OPPORTUNITY – $5,000 (Seating for 4 guests)

DIGNITY – $2,500 (Seating for 2 guests)

The success of the Easterseals Tribute event is largely dependent upon generous underwriting sponsors who express their appreciation for the Honoree while helping to make a positive impact on the lives of children with disabilities throughout Central Illinois.

This Tribute to Kim Blickenstaff will showcase the Scottish Rite Theatre featuring entertainment from The Beach Boys.

*In order to ensure your listing is included

Print Sponsor Name:

Card Number:

Expiration Date: 3-Digit Security Code:/

Payment Information:

Name:

Address:

Phone:

Email:

Contact: Ashleigh Lane, Donor Services Associate | Easterseals – 507 E. Armstrong Avenue

Peoria, IL 61603 | alane@eastersealsci.com | (309) 686-1177 (office)

I wish to sponsor at the following level which includes auditorium seating for Tribute program and entertainment: