Join us for our 55th Anniversary Celebration

Will you be attending?

Yes, I will be attending
Regretfully, I will not be able to attend

Please select:

I am representing a business/organization
I am an individual(s): non-business

The name of the business/organization you are with:

Your name:

First

Last

Phone

How many additional guests are you bringing?

Are you interested in any of the donation/sponsorships?

Yes
No

Would you like to learn about our Donation Blocks that will be displayed at our celebration?

Yes, I would like to learn more
No, not at this time

Thank you for your interest in the senior center! Below are our donation options (Donation Blocks, Wall Banner Sponsors and Radio Ad Sponsors), but first, here is why we are asking for your help:

Are you interested in making a donation for a "block."

Yes
No

Enter your name(s) exactly how you want it/them to appear on the Donation Block OR type, "I'm using a logo."

I would like to donate for:

A Wall Banner Sponsorship
WSRW 101.5 FM and WCHO 105.5 FM Radio Ad Sponsorship
WVNU 97.5 FM Radio Ad Sponsorship
C103 103.1 FM Radio Ad Sponsorship
Herb Day Radio Ad Sponsorship
None of these

If you selected to donate towards a Wall Banner Sponsorship (size: 3'.5" side to side and about 2' up and down) or Donation Block (see sizes above), upload your logo that will fit in the appropriate size that corresponds with your selection(s). Please upload file as a PNG or Jpeg. If you have trouble uploading your file(s), please email it to mfrost@highlandseniors.com

Click or drag a file to this area to upload.

What method of payment are you using?

Cash or check
Card

Please enter the amount of the Donation Block you are purchasing:

$55
$110
$220

Please provide us your email to send an invoice. NOTE: Invoices will included the senior center's EIN# for tax write-off purposes. My email is:

Please send me an invoice to the email address I provided: NOTE: Invoices will included the senior center's EIN# for tax write-off purposes.

Yes
No

Thank you! Our Front Desk will be reaching out to you to arrange payment. If paying by check, please make checks payable to:

Highland County Senior Citizens Center

Our mailing address is:
185 Muntz Street, Hillsboro, Ohio 45133

Welcome,

Join us for our 55th Anniversary Celebration

Please R.s.v.p. to let us know your attendance status by filling out the form below. Also, if you wish to learn about our donation blocks or donate, please fill out the form below. Thank you.

Thank you for your interest in the senior center! Below are our donation options (Donation Blocks, Wall Banner Sponsors and Radio Ad Sponsors), but first, here is why we are asking for your help:

Thank you! Our Front Desk will be reaching out to you to arrange payment. If paying by check, please make checks payable to:

Please hit the "send this information" button to notify us of your attendance status. Thank you.

To notify us of your attendance status, please hit the "send this information" button. You will be directed to the next page for payment. Thank you!

To notify us of your attendance status, please hit the "send this information" button.