If you have questions or need assistance with this form, contact our business manager, Fred Findley, at 501-690-1151  or Email him at businessmanager@safeplaceslr.org.   Thank you.
Photos from
The 2008 Cinderella Ball
Yes!
We want to support Safe Places and honor the 2009 Princesses and The 2009 Magic of Hope Award honorees, Spirit Trickey-Rowan and Minnijean Brown Trickey!
to honor the 2009 Princesses and the Magic of Hope honorees.
Your Organization/Individual Name
Address
Contact Person
Phone Number
E-mail Address
City/State/Zip Code
Many thanks to our Presenting Sponsor - Entergy!
The 2009 Cinderella Ball Sponsorships
This contribution is in honor of
Payment Terms:
Please make a copy of this form and enclose with your check.

Make check payable to Safe Places and mail to:

Safe Places Business Office
2607 Lehigh Drive
Little Rock, AR 72204
(Safe Places requests payment within 30 days of invoice date.)
Enter Payment Details Below:
Today's Date
Safe Places is a tax-exempt organization under Section 501(c)3 of the Internal Revenue Code.  Tax ID: 43-1986827
3-digit Security Code
Card #
Expiration Date
Signature
(4-digit for AMEX)
Print a copy of this form for your records.
~ $15,000
~ $10,000
~ $7,500
~ $5,000
~ $2,500
~ $1,500
Presenting Cinderella Ball Sponsor
Presenting Princess Leadership Program Sponsor
Golden Carriage Sponsor
Crystal Slipper Sponsor
Silver Tiara Sponsor
Moonlight & Stardust Sponsor
We cannot be a sponsor, but would like to contribute
I am mailing a check.
Please bill me.
I need flexible payment arrangements.
Please bill Credit Card.
Mastercard
VISA
AMEX