2013 Sponsor Information and Registration Form - Landscape ...

Sponsorship Registration
LAF’s 28 th Annual Benefit: “Rising Tide”
The Wharf Room at the Boston Harbor Hotel ● Friday, November 15, 2013 ● 7:00pm - 10:30pm
Experience the rising tide of landscape performance and future leaders of the profession. Join top designers and leaders
from practice, academia, and industry for a memorable evening at the Boston Harbor Hotel.
Organization:
Contact Person:
Mailing Address:
Telephone Number:
Signature:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_______________________ Email address: ______________________________________
__________________________________________ Date: __________________________
Indicate Level of Support:
_____ $25,000
Ocean
_____ $15,000 Bay
_____ $10,000 Harbor
_____ $5,000 Wharf
***Please see the reverse side for a summary of
sponsorship benefits***
_____ $2,500 Lighthouse
Payment Options:
Full payment enclosed (Check payable to Landscape Architecture Foundation or provide credit card information below)
Invoice me
___ Annually (one payment) ___ Semi-annually (two equal payments) ___ Quarterly (four equal payments)
Indicate Invoice Dates: ____/____/____ ____/____/____ _____/____/____ ____/____/____
Auto-payment (please provide credit card information below):
___ Annually (one payment)
___ Quarterly (four equal payments)
___ Semi-annually (two equal payments)
___ Monthly (equal payments each month by 2013 year-end)
Indicate Payment Dates (except monthly): ____/____/____ ____/____/____ _____/____/____ ____/____/____
_________________________________________________
Credit Card Account #
_____________________________________________________
Credit Card Billing Address (if different than above)
Expiration Date: ____/____
_____________________________________________________
Card Type (Circle one): VISA / MC / AMEX / DISC City, State, Zip
_________________________________________________
Cardholder Name
_____________________________________________________
Email Address of Cardholder (if different than above)
Signature: ________________________________________
Date: ______/______/______
Fax or scan completed form to 202-331-7079 or malcide@lafoundation.org. Contact Matt Alcide at 202-331-7070 x13 with questions.