P.O. Box 12847 Austin, Texas 78711

(512) 463-7476

TexasAgriculture.gov

Texas Department of Agriculture

2017 Family Land Heritage Ceremony

Please complete and return, along with the enclosed donation form, by October 16, 2017.
Please also send an electronic version of your logo to .

Name: ______

Address: ______

City: ______State: ______Zip: ______

Phone: ______Email: ______

Sponsorship Level:

___ TitleSponsor (one available) with a contribution of $8,000 or more receives:

  • Priority verbal recognition during the FLH ceremony
  • Recognition on TDA homepage , TDA’s social media sites, and event promotion
  • Certificate of recognition from Commissioner Sid Miller
  • Priority logo recognition attop of event signage
  • Priority logo recognition at top of FLH website
  • Priority logo recognition in FLH ceremony program and program letter from Commissioner Miller
  • Priority recognition in FLH press release

___ Platinum Level Sponsors with a contribution of $2,000 or more receive:

  • Verbal recognition during the FLH ceremony
  • Logo recognition on event promotions
  • Logo recognition on event signage
  • Logo recognition on FLH website
  • Logo recognition in FLH ceremony program
  • Recognition in FLH press release

___ Gold Level Sponsors with a contribution of $1,000 or more receive:

  • Logo recognition on event signage
  • Logo recognition on FLH website
  • Logo recognition in FLH ceremony program
  • Recognition in FLH press release

___ Silver Level Sponsors with a contribution of $500 or more receive:

  • Recognition on FLH website
  • Recognition in FLH ceremony program
  • Recognition in FLH press release

___ Bronze Level Sponsors with a contribution of $250 or more receive:

  • Recognition in FLH ceremony program
  • Recognition on FLH website

___ Friends with a contribution of $100 or more receive:

  • Recognition on FLH website

Please submit forms and checks payable to:

Texas Department of Agriculture

Attn: Family Land Heritage Program

P.O. Box 12847

Austin, Texas 78711-2847


Texas Department of Agriculture

Donations

section A / 1 Entity Providing Donation
State Agency Federal Agency Other Government Entity 3rd Party
Name
2 Mailing Address
Address / Phone
() -
City / State / Zip
section b / 1 Donation PURPOSE
It is my intention that this gift, grant or donation be used for the purpose of (Specify):
Family Land Heritage
The donation in the amount or approximate amount of $ is purely voluntary, and I have no expectation of compensation.
section c / 1SIGNATURE
It is the desire of the undersigned to make a gift, grant or donation to the Texas Department of Agriculture. I understand that my gift, grant or donation will be reported by the Department in accordance with Texas Agriculture Code, Section 12.022.
Date (mm/dd/yy)
/
sec. d / 1 submitting TDA Employee
Name
Justin Rand / Employee Phone Number
(512) 463-9885 / Date (mm/dd/yy)
/ 2017
section e / 1 Approval signatures / Date (mm/dd/yy)
Supervisor / Approved Not approved Revise / /
AC/RD / Approved Not approved Revise / /
Ethics / Approved Not approved Revise / /
Legal / Approved Not approved Revise / /
Financial Services / Approved Not approved Revise / / /
sec. F / 1 Deposit VOucher / Date (mm/dd/yy)
Name / Index / Deposit Voucher No. / /
PCA

Financial ServicesRevised 3/18/2016

Administrative Services Division