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Casino Jazz Night - Big Brothers Big Sisters of New York City

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Payment<br />

big brothers big sisters<br />

<strong>of</strong> new york city<br />

<strong>Casino</strong> <strong>Jazz</strong> <strong>Night</strong><br />

Credit Card Information<br />

WEDNESDAY, JUNE 15, 2011<br />

cipriani<br />

42nd street<br />

6:00pm – 9:30pm<br />

Name_________________________________________________________________________<br />

Company______________________________________________________________________<br />

Address ______________________________________________________________________<br />

<strong>City</strong>_______________________________________ State_________ Zip___________________<br />

Email ______________________________________ Telephone __________________________<br />

Check one: AmEx r MC r Visa r Security Code_________________________________<br />

Card Number _______________________________Exp Date ____________________________<br />

Total Amount to be charged $______________________________________________________<br />

By check, please make payable to <strong>Big</strong> <strong>Brothers</strong> <strong>Big</strong> <strong>Sisters</strong> <strong>of</strong> NYC.<br />

For additional information contact, Roxanne Scher, Special Events Manager,<br />

rscher@bigsnyc.org, 212-994-7701.<br />

Event Sponsorship<br />

______ $50,000 Diamond Sponsor<br />

Top tier logo placement in event signage (digital<br />

program rotating on screens throughout the evening,<br />

plus select on-site print signage), product/literature<br />

placement in gift bags, additional customized benefits<br />

based on sponsors’ needs; 20 Tickets<br />

______ $25,000 Chairman Sponsor<br />

Premium logo placement in event signage (digital<br />

program rotating on screens throughout the evening,<br />

plus select on-site print signage), product/literature in<br />

gift bags; 10 Tickets<br />

______ $15,000 Platinum Sponsor<br />

Prominent logo placement in event signage (digital<br />

program rotating on screens throughout the evening),<br />

product/literature in gift bags; 10 Tickets<br />

______ $10,000 Gold Sponsor<br />

Logo listing in event signage (digital program rotating<br />

on screens throughout the evening), logo display on<br />

2 casino tables; 10 Tickets<br />

______ $7,500 <strong>Casino</strong> Sponsor<br />

Logo display on 1 casino table; 6 Tickets<br />

(Company logo in EPS format due Friday, May 13)<br />

______ $2,500<br />

Digital advertisement at event<br />

______ $1,500 Individual Tickets<br />

______ I am unable to attend this year, but would like to<br />

contribute $________________________<br />

Company logo in EPS format is due Friday, May 27, 2011,<br />

unless noted otherwise.<br />

* Kindly list guest names on the reverse side <strong>of</strong> this card. The dinner cost per<br />

person is $175.00. The balance is tax-deductible. BBBS <strong>of</strong> NYC Federal tax<br />

ID # 13-5600383.

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