
ROCKETMAN – A Tribute to Sir Elton John To Benefit
Nancy K Perry Children’s Shelter and Palmetto Place Children’s Shelter
Sponsors/Friends Registration
Business Name:_______________________________________________________________________
Contact Name:________________________________________________________________________
Address:_____________________________________________________________________________
City_______________________ State_____________________Zip____________________
E-mail:_________________________________________ Phone:______________________________
Name to be displayed on signage:________________________________________________________
Sponsor’s Level (circle one) $5,000 $2,500 $2,000 $1,500 $1000 $500 OR
As a Friend to the Children, I would like to Donate: $
(Friends will be listed in the concert program.)
Please split money between the 2 shelters. __________
Please apply all money to Nancy K Perry Children’s Shelter. ________
Please apply all money to Palmetto Place Children’s Shelter.________
Please provide logo in a high-resolution format via e-mail to: prettypic@aol.com.
Direct questions to Vickie Lovett at 803.739.2275 or email Prettypic@aol.com
Please make Checks payable to and mail to: Dream Makers
Attn: Vickie Lovett
1912 Memorial Drive
Cayce SC 29033