October

2017

~ACTIVITIES~ * HayWagon Rides - Sponsored by Salem Firefighters Local #283 (10–2 p.m.)

* Scarecrow Contest - Sponsored by the Salem Memorial Bldg./Salem Public

Library - 11:00 a.m.

* Petting Zoo, Pony Rides, Train Rides, Spinning Demo, “Mom...What Is

This?” Display, Trolley Tours - Sponsored by the Salem Historical Society

Children’s Games by Yellow Brick Place (All Day - 10 a.m. - 4 p.m.)

* SAM the Safety Squirrel Mascot, Roaming Balloon Artist & Magician

Sponsored by Salem Chamber (11 a.m. - 1 p.m.)

* “Quaker Kid Crawl” - An activity for kids and families to visit participating

stores/locations - Sponsored by Salem Chamber (10 a.m.- 2 p.m.)

* Children’s Games, Activities, Hot Dogs & Music - Sponsored by 1st United

Methodist Church/Emmanuel Lutheran Church (Noon – 2 p.m.)

* “Celebrating 100 Years” - Tours of the former Salem High/Junior High

Nka:KSU City Ctr. (10 a.m. - 2 p.m.) Sponsored by Alumni Association

* Walking Tour of the Downtown - Sponsored by Salem Preservation Soc.

* Sidewalk Chalk Drawing - Sponsored by Daydreamer’s Studio - (10-2 p.m.)

* Music at McCulloch Park - Sponsored by Downtown Salem Partnership

* Face Painting, Popcorn, Apples - Sponsored by The Brightside Project

* Downtown Table Vendors - Small businesses, organizations and clubs, and

local crafters (10 a.m. - 4 p.m.)

* 1950’s SALEM MOVIE - At Salem Com. Theater/Salem Pres.- (11 a.m.)

* Quaker Meeting House Service - Sixth Street - (4:00 p.m.)

* Leaf Bag Pick Up at Home Depot - Sponsored by City of Salem (9-2 p.m.)

For more information, contact the Salem Chamber at 330-337-3473 or email:

info@salemohiochamber.org

SATURDAY, OCTOBER 14, 2017

DOWNTOWN SALEM

10:00 a.m. – 4:00 p.m.

SALEM QUAKERFEST

SALEM UPDATE NEWS OF THE SALEM AREA CHAMBER OF COMMERCE

The October Salem Area Safety Council meeting is scheduled for Friday, October 20, 2017 at 11:45 a.m. This month’s speaker will be Trooper Craig Monte, of the Ohio State Highway Patrol, Lisbon Post. He will be speaking about general safety on the roadways and Ohio’s tex-ting laws. (See the attached insert in this news-letter.) We ask for your reservations, and ALL members of the Chamber are always welcome at our SASC meetings.

Congratulations to the winners of our "I LOVE SALEM" photo contest ! From left: Andy Clutter, third place, Michele Hoffmeister, fifth place, Kayla Marie Stanley, first place and Karen Carter, second and fourth place. Each won gift certificates to our local businesses and a framed "I LOVE SALEM" poster, window cling and keychain. Look for their photos to be featured on our new website coming in 2018.

BEAUTIFICATION NEWS Congratulations to our “Yard of the Month” winners for September 2017...Mike and Brittany Stouffer. Their front yard at 157 Fair Street is sure to catch your attention with beautifully potted annuals and a wide variety of abounding perennials. Compliments to our “Business of the Month” winner for September 2017...Mike’s Penn Grille, a popular downtown restaurant who has been serving customers for over 14 years. While satisfying your appetite with their delicious menu, patrons will also enjoy the atmosphere in the newly-remodeled business. Stop in, check out the new digs, and congratulate Chamber member Mike !

The Downtown Dining Experience formerly known as “Taste In Salem” was held on September 26, 2017. Over 210 ticket holders were treated to quality food and great service from our participating downtown restaurants while having the opportunity to win prizes and a diamond necklace. Thank you to the following downtown businesses for participating: BB Rooners, Boneshaker’s, Coaches, Ezio’s, Lib’s Café & Market, Mike’s Penn Grille, Rancho Viejo, Ricky’s English Pub and Troll’s Jewelry. Also, sincerest thanks to committee members, volunteers, and all United Way Agencies for making this event such a success. We look forward to next year’s DDE!

PRESENTED BY: SALEM AREA CHAMBER

OF COMMERCE AND

UNITED WAY OF NORTHERN COLUMBIANA COUNTY

WELCOME TO OUR NEW CHAMBER MEMBER!

Thank you to this month’s new member who is joining our other members as we

keep “PACE”! We are committed to Promote,

Advocate, Connect, and Educate for our Chamber investors:

CARTER HEALTH CARE 2199 SUNSET BOULEVARD

SUITE B STEUBENVILLE, OH 43152

740-275-6036 Tara Cochran

~CHAMBER AMBASSADOR NEWS~

The Chamber Ambassadors hosted a ribbon cutting on September 20, 2017 for The Stables Inn & Suites at the Timberlanes Complex to formally announce their grand opening. Stop in and see the newly renovated hotel. Special thanks to the Pidgeon Family for restoring another Salem landmark. Another Salem icon is celebrating “60 Spooktacular” years. Join the Chamber Ambassadors on Thursday, October 26, 2017 from 5:00-7:00 p.m. as Hannah E. Mullins School of Practical Nursing hosts a Business After Hours. (See insert.) We ask that you RSVP to us by 10/19 if you plan to attend.

ELECTION DAY IS NOVEMBER 7, 2017 The SACC Legislative Affairs Committee asks that you please vote “YES” ON THE SALEM CHARTER GOVERNMENT BALLOT ISSUE: “Shall a Commission be formed to frame a Charter for the Government of Salem?”

2017 NOMINATIONS NEEDED The Chamber is now accepting nominations for Outstanding Citizen of the Year, Business of the Year, and Non-Profit/Organization of the Year. Nomination forms are included in this newsletter and must be submitted to the Chamber office by Monday, October 23, 2017. This year’s Annual Meeting luncheon will be held December 6, 2017.

HOW SWEET OF YOU! Over 40 travelers joined the Chamber and the Salem Memorial Building on their sponsored bus trip to Hershey, Pennsylvania from September 29 - October 1, 2017. They enjoyed the sites of Hershey’s Chocolate World, The Dutch Apple Dinner Theatre, The Antique Automobile Club of America Museum, and Troegs Brewery. They also stopped to honor the passengers and crew of Flight 93 at the Flight 93 National Memorial. Thank you to the following Chamber businesses who generously donated items for the goody bags: Columbiana County Career & Technical Center, Columbiana County Port Authority, Consumers National Bank, Copeland Oaks, Essential Vision Care, Gina McQuillan State Farm Agency, Home Savings, Hunter Associates, Inc., Huntington Bank, Myers Family Insurance, Salem Regional Medical Center, Schroedel, Scullin & Bestic, CPA’s and The Moore Agency.

Adamson Veterinary Services Gordon Brothers

Community Hospice Home Savings Bank

Copeland Oaks/Crandall Medical Center Kent State University at Salem

Crabb Insurance National Healthcare Access

Farmers National Bank Salem Regional Medical Center

D.T. Moore & Company

Harrington, Hoppe & Mitchell, Ltd.

Hunter Associates LLC

Morris Financial

Salem Computer Center

Salem Sears Hometown Store

Schroedel, Scullin & Bestic, CPA’s

Visiting Angels

DATE: October 20, 2017

TIME: NOON (Lunch Buffet Opens @ 11:45 a.m.)

PLACE: SALEM COMMUNITY CENTER

1098 NORTH ELLSWORTH

COST: $14.00 - Chamber Members

$19.00 - Non-Chamber Members Payable by cash, check, or

luncheon ticket. Books of six luncheon tickets are available:

$84.00—Chamber Members $114.00—Non-Chamber Mbrs. Please make checks payable to:

Salem Area Chamber of Commerce

RESERVATIONS REQUIRED Reservations can be made by

calling 330-337-3473 or info@salemohiochamber.org

*Any reservation not cancelled within 24 hours of the luncheon

will be invoiced. Deadline for reservations is Tuesday, October 17, 2017

The Salem Area Safety Council is a division of the Salem Area

Chamber of Commerce 713 East State Street Salem, Ohio 44460

330-337-3473 Fax: 330-337-3474 www.salemareasafetycouncil.org

www.salemohiochamber.org

OCTOBER 2017 MEETING

Topic: “Arrive Alive,

Don’t Text and Drive”

Guest Speaker:

- Trooper Craig Monte, Ohio State Highway Patrol, Lisbon Post

At the end of the presentation, Safety Council members should be able to:

Summarize general safety procedures that should be used while on the road.

List the dangers of distracted driving.

Understand new updates to State of Ohio texting laws.

*

The Salem Area Chamber of Commerce Presents:

Networking in November

November 15, 2017

8:00 a.m. to 9:30 a.m. Salem Community Center

1098 North Ellsworth

Cost: $15.00 - Chamber Members

$20.00 - Non-Chamber Members

This networking event will offer a specially designed rotation that gives our business

members the opportunity to deliver their “elevator speech” in a two minute period of

time. Networking sessions encourage people to get to know each other and develop the

trust needed to do business. Bring plenty of business cards!

SCHEDULE:

7:30 - Registration

7:30-8:00 a.m. - Breakfast

8:00-9:30 a.m. - Your Business

Commercial and B2B Challenges

Reservations are required.

Deadline to register is November 10, 2017.

Please RSVP to Salem Chamber at:

info@salemohiochamber.org

or call 330-337-3473

October 6, 2017

Dear Chamber Members:

The 12 Days of Christmas raffle is fast approaching and it is one of the Salem Chamber’s biggest

fundraisers of the year. Monies are used for beautification projects and proceeds from last year’s ticket

sales were used for our new Salem entranceway sign located on South Lincoln Avenue. There are plans

for another entranceway sign to be built in 2018.

We are asking Chamber members to consider giving a donation. All of our 12 Days of Christmas prizes

are at least $50.00 in value, with some of them valued at $100.00 or more. Examples include local

restaurant or local retail gift cards, or a holiday themed basket.

As a donor, you, your organization, or your business will receive several different forms of

acknowledgement for your generous support:

Name will appear in the Salem News in the 12 Days of Christmas advertisement

Recognition will be posted on the Salem Chamber’s Facebook page

E-mail blast to the Salem Chamber membership will announce donors

Salem Chamber’s newsletter will acknowledge donors

Thank you advertisement in the newspaper will list your business or organization

Would you consider helping us this year? If interested, please contact Lori Jewell, Administrative

Assistant at info@salemohiochamber.org by Friday, October the 27th.

We very much appreciate your consideration. We look forward to the upcoming holiday season and we

hope you will join us in this effort that spreads Christmas joy throughout the Salem area.

Sincerely,

The 12 Days of Christmas Committee

Salem Area Chamber of Commerce

2017

Outstanding Citizen of the Year

Nomination Form

The Annual Meeting Committee of the Chamber of Commerce will be looking for nominees for the 2017

Outstanding Citizen of the Year. Please fill out the form below and return it to the Chamber Office no

later than October 23, 2017.

NOMINEE'S NAME: _________________________________________________________________________________________________________

PHONE NUMBER & ADDRESS (if available): __________________________________________________________________________

COMPANY NAME (if applicable): _______________________________________________________________________________________

Please Indicate the Significant Contributions this Person Has Made to the Betterment of the Greater Salem

Community. Candidates should have a History of Community Involvement:

__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

___________________________________________________________________ Nominator’s Name & Phone Number (Optional)

See the Following Page for a List of Previous Honorees

PLEASE RETURN THIS FORM BEFORE OCTOBER 23, 2017 TO:

Salem Area Chamber of Commerce, 713 East State Street, Salem, Ohio 44460 Phone: 330-337-3473 Fax: 330-337-3474

E-Mail: info@salemohiochamber.org or acnull@salemohiochamber.org

1967 Howard Firestone 1994 Ruth Cosgrove

1968 Floyd McKee 1995 Jerry Foster

1969 Al Fitch 1996 Jack Howells

1972 John Herman 1997 Jack Vogel

1974 Katherine Gibson 1998 Dale Shaffer

1975 Elden Groves 1999 Don & Karen Whitehill

1976 Olive Van Schoik 2000 Al Cleveland/Ford Joseph, Jr.*

1977 Rev. Harold Winn* 2001 Sal & Alma Apicella

1978 Lloyd Gordon 2002 John E. Tonti

1979 Walter B. Null, II 2003 John Tolson

1980 Gail Herron * 2004 Bob & Karen Sebo

1981 George Bowman 2005 Attorney Geoff Goll

1982 Fred Cope 2006 B.J. Abrams, George W.S. Hays &

1983 Tom Cusack David Stratton

1984 Curtis Vaughn 2007 Roger Hack

1985 George Jones 2008 Howard Rohleder

1986 Bryce Kendall 2009 Frank Zamarelli & Family

1987 Ralph Martin 2010 Rita Joseph O’Leary

1988 Penny Lippiatt 2011 Carolyn Gordon Jones

1989 Bruce Gordon 2012 Jock Buta

1990 Walter Hank 2013 Elaine Kothera

1991 Daniel E. Smith 2014 Attorney Larry Cecil

1992 Soph Paparodis 2015 Karen Carter

1993 Joe Sedzmak 2016 Robert S. McCulloch, III

*Awarded Posthumously

Outstanding Citizen of the Year

Past Honorees

NOMINATION FOR BUSINESS OF THE YEAR

Presented to a Chamber business that has demonstrated a

commitment to the Salem business community.

Name of Business/Business Person: ___________________________________________________

Address of Business/Business Person:_________________________________________________

Phone Number: ________________________________________________________________________

Type of Business:______________________________________________________________________

Number of Employees:_________________________________________________________________

Reasons for Nomination: (Please provide a short listing of accomplishments that reflect criteria, additional information may be attached to this form) Examples: Improvements/expansion to the facility, Strived to maintain employee stability and/or employee growth, Demonstrates an overall emphasis on community contributions and involvement, Product innovations or service, Other reasons for nominations. ________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Please mail, fax, or email the completed form by October 23, 2017 to:

Salem Area Chamber of Commerce, 713 E. State St., Salem, Ohio 44460 Phone: 330-337-3473 Fax: 330-337-3474

E-Mail: info@salemohiochamber.org or acnull@salemohiochamber.org

Nomination Submitted by:_____________________________________________________________

Phone Number: ________________________________________________________________________

NOMINATION FORM NON-PROFIT /ORGANIZATION

OF THE YEAR

Presented to a Chamber Non-Profit /Organization that has demonstrated a commitment to the Salem business community.

Name of Non-Profit/Organization: ____________________________________________________

Address of Non-Profit/Organization:__________________________________________________

Phone Number: ________________________________________________________________________

Number of Employees/Members: _____________________________________________________

Qualifications: Accomplishments made in the community • Contribution to the betterment of the community • Involvement of its members in other segments of the community • Other reasons

Please provide a short listing of accomplishments that reflect the above criteria, and any additional information may be attached to this form.

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Please mail, fax, or email the completed form by October 23, 2017 to:

Salem Area Chamber of Commerce, 713 E. State St., Salem, Ohio 44460

Phone: 330-337-3473 Fax: 330-337-3474

E-Mail: info@salemohiochamber.org or acnull@salemohiochamber.org

Nomination Submitted by:_____________________________________________________________

Phone Number: ________________________________________________________________________

Hello!

The second annual Trail of Treats and Halloween Costume Contest will be held on Sunday, October 29th at the nature

trail in Waterworth Memorial Park. Last year over 200 kids and parents/grandparents participated in the event which

had to be moved indoors at the last-minute due to inclement weather conditions. It is my strong belief that this year’s

attendance could easily double, especially if we get a pleasant weather day.

Here’s how the program works:

Local businesses, clubs, organizations and even individuals are assigned a location along the trail.

Our “distributors” are 1) required to pass out candy to all youth as they pass by. 2) encouraged to have any type of

promotional material available to hand out to the adults (flyers, coupons, pens, etc.) Let people know who you are and

what you do (promote yourself). 3) encouraged to also dress up for the event in your favorite Halloween costume. An

award will be given to the best distributor table/display.

There will be a costume contest before the Trail of Treats program begins. Anyone walking the trail, even if they decided

not to participate in the costume contest, will be encouraged to dress up in their favorite Halloween costume. Last year

over $200 in Toys-R-Us gift certificates were given out to the children and the “best family” award won a $50 gift card to

Boneshakers Restaurant.

This is a win-win-win program for everybody. Kids get candy and prizes, adults get coupons and other free stuff and local

businesses, clubs and organizations get to promote themselves and interact directly with the community in a fun, family

friendly atmosphere.

The event is organized and presented by the Salem Parks & Recreation Department and the Eyes for Olivia Foundation.

We invite you to participate in the trail of Treats and Halloween Costume Contest this year. All businesses, clubs,

organizations and individuals will be listed and recognized in the local newspapers and on the Salem Parks &

Recreation’s Facebook page as we begin to promote this fun event.

If you are interested in participating or just need more information, please call me at 330-332-5512 or email me at

shanefranks2000sp@gmail.com.

Thank you and I hope to hear from you soon,

Shane Franks

Recreation Supervisor

Salem Parks & Recreation Dept.

and

Sunday, October 29th

1 to 4pm

Along the Nature Trail in

Waterworth Memorial Park

Saturday, November 4 from 10 am -2 pm

Common Ground Church Community

2310 W. South Range Rd.

North Lima, OH 44452

Phone: 330-549-9408

Website: commongroundchurchcommunity.org

We have coats/jackets/hats/etc. for a variety of ages.

No requirement for income or proof of residence. Everyone welcome!

Free cookies, cocoa, and coffee plus a craft for the kids.

Children will also get a new school supply item (like crayons, paper,

pencils, glue…) for a fresh start to the new grading period!

Would you like to donate a clean coat or other item of outerwear?

Did you end up with a surplus of school supplies, or even of

hygiene items like toothpaste, toilet paper, soap, etc.?

We appreciate all donations and will put them to good use.

Call the church to arrange a drop-off time. Thank you!

“And do not forget to do good and share with others” Hebrews 13:16

Find out more on www.DayforDemocracy.comSign up to receive more information, or contact your county board of elections (a complete directory is posted on this site).

*Disclaimer: County boards of elections are responsible for hiring precinct election officials for their own counties, determining the hours precinct election officials will work on Election Day and the compensation they will receive.

• Get a front row seat to democracy on Election Day by staffing a polling place• Do your part for your country, state and local community• Earn extra spending money in the process

Apply to be a Precinct Election

Official in Ohio

Additional resources for getting involved:Ohio Secretary of State |www.OhioSecretaryofState.gov

Who can participate?You can serve as a precinct election official (P.E.O.) in Ohio if you:• Are a U.S. citizen• Are at least 18 years old and registered to vote• Are a resident of the county in which you plan to serve• Are not running as a candidate for the election in which you are working• Have not been convicted of a felony

Why participate?• Earn more than $100 for the day in most counties.• Gain a better understanding of the election and voting process.• Serve your community and help democracy work by making sure every eligible voter can vote.

02/2017

A Day For

Be a Precinct Election O�cial

Follow OhioSOSHusted:

You are Invited to Join Us: 2017 Santa Shuffle at Firestone Farms

On behalf of Salem Regional Medical Center (SRMC) and the SRMC Foundation, we are pleased to announce the first annual “Santa Shuffle.” You are invited to join us for this exciting event, held in tandem with the 2017 Winterfest at Firestone Farms Town Center in Columbiana, Ohio on November 18th from 10:00 a.m.- Noon. Purpose: The Santa Shuffle is presented by the SRMC Foundation, and all proceeds from this

event will go to help the Foundation support the Hospital’s mission to provide our patients with state-of-the-art equipment and technology, updated facilities, and advanced programs and services. The event is open to people of all ages and includes a 1 mile Family Fun Walk around the Firestone Farms Town Center.

Event Details: Early registration for the Santa Shuffle will occur from September 25th through October 10th at a cost of $10.00 per participant. After October 11th, the registration fee moves to $15.00; and participants can also still register the day of the event. In addition to the Santa Shuffle, there will be many family friendly activities offered at the event. Activities include holiday corn-hole, reindeer hula hooping, children’s face painting, and holiday photos with Santa. For those looking to get a head start on their holiday shopping, we will also have both the SRMC Gift Shop and SRMC Auxiliary on-site with seasonal items for sale. Additionally, tours of our SRMC Firestone Farms Medical Center will be taking place.

Sponsorship Opportunity: You are invited to become a sponsor of our first Santa Shuffle. Our sponsorship options accompany this letter and provide excellent visibility leading up to this fundraiser, as well as recognition and networking opportunities with other sponsors, guests and partners at the event. The Sponsorship Agreement Form, which can be completed and returned with your payment, is attached. If you have any questions, please email me at foundation@salemregional.com or by calling the Development Department at 330.337.2883.

Thank you in advance for your consideration and support for this year’s Santa Shuffle. Thank you, Amy Manolio Director of Development

SRMC Foundation Special Events Committee: George Morris, Chair; Angela Doty, M.D.; RuthAnn Rinto; Rita O’Leary; David R. Peterson; Maxine Sanor; and, Connie Scullion

All Proceeds Benefit the SRMC FOUNDATIONSponsorship Opportunities Description

North Pole ($100) Event Sponsor

Sleigh Bell ($75) Holiday Photos with Santa 

Rudolph ($75) T‐shirt Sponsor

Prancer ($50) Children’s Games

For More Information: Call SRMC’s Development Office,330‐337‐2883 or visit foundation@salemregional.com

Santa Shuffle Registration:‐ Early Registration (9/25‐10/10/17): $10/Walker‐ Registration (after 10/11/17): $15/Walker(A special T‐shirt will be given out at the event to all registered walkers)

Family‐Friendly Activities 10 a.m. to Noon:10 a.m.      1‐mile Fun Walk (Dress like your favorite holiday character!)

SaturdayNovember 18th

10 a.m.- Noon- Family Fun Walk at 10 a.m.

- Children’s Activities 10 a.m.- Noon

Firestone Farms

TownCenterin Columbiana

Join us for a 1‐mile walk around Firestone Farms during the 2017 Winterfest Celebration!

10 a.m.    Free activities (Reindeer hula‐hoop, To Noon   holiday corn hole, face painting, photos)

I would like to support the SRMC Foundation and its continued growth with the following sponsorship and/or event registration: North Pole

$100 Sleigh Bell

$75 Rudolph

$75 Prancer

$50 - Placement of your company name/logo on banner at starting line for Santa Shuffle - Name on event t-shirts (4) sponsorships available

- Exclusive placement of your company name/logo on sign by pictures with Santa photography area - Name on event t-shirts (1) sponsorship available

- Your company name/logo on a sign in the Firestone Farms Courtyard - Placement of your company name/logo on event t-shirts (16) sponsorships available

- Your company name/logo on a sign in the Children’s Game area for Reindeer hula hoop, Holiday corn-hole and Children’s holiday face paint area - Name on event t-shirts (6) sponsorships available

Note: All sponsors greater than $50 will be listed on the back of walkers’ t-shirts, provided that the paid sponsorship is received by November 3, 2017. In addition, all sponsors will receive recognition and special signage at the event; as well as a listing in SRMC’s 2017 Annual report and posting on the SRMC website and Facebook page. Sponsor Name ( as it is to appear on recognition materials)

Contact Person Address Phone Email Registration Information: Please provide the following information for each participant in the Santa Shuffle. (Registration is $10 per participant until October 10, 2017; $15 per participant after October 11, 2017.)

Participant Name Gender Shirt Size (S,M,L,XL,2XL)

Registration Fee

1. 2. 3. 4. 5.

No Liability/Indemnification/Hold Harmless: SRMC does not assume liability for the loss, theft, damage or injury to persons or their personal property related to this event. Guests agree to indemnify and hold SRMC harmless for any liability theft, damage, cost or expense whatsoever arising from or related to any claim or litigation which may arise out of or in connection with Guests’ use of the property, including but not limited to claims for personal injury or property damage/loss.

Enclosed is my Sponsorship Payment of $_____________ (Please make checks payable to “SRMC Foundation”) Enclosed is my Registration Fee(s) of $________________ (Please make checks payable to “SRMC Foundation”) -or- Please charge the following credit card (Circle one): Mastercard Visa Discover

Card #: Name As It Appears On Card: Exp. Date: Security Code:

I am unable to participate this year, but please accept my enclosed gift of $

If you’d like to be a sponsor of the 2017 Santa Shuffle, we must receive your completed agreement and payment by November 3, 2017. Deadline date for all t-shirt logos/designs is October 31, 2017. Logo information must be received by the Development Department electronically by emailing foundation@salemregional.com.

Please return this Sponsorship Agreement and Registration Form along with your payment to: Amy Manolio c/o SRMC Development Department

Salem Regional Medical Center 1995 East State Street Salem, Ohio 44460

Phone: 330-337-2883 Email: foundation@salemregional.com

Sponsorship does not imply SRMC’s endorsement or continued use of sponsor’s product and/or organization.

Saturday, November 18, 2017 Sponsorship Agreement and Registration Form