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Movember Gala Party

Capitale  21-Nov-08

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Dinner Reservation Form

Please click here for a PRINTER FRIENDLY VERSION

60th Anniversary Benefit Dinner

Wednesday, November 12, 2008

Reception  6:30 pm
Dinner  7:30 pm
Black Tie

Cipriani Wall Street, 55 Wall Street, New York


Reservation & Contribution Form


□ Please reserve ___ANNIVERSARY Table(s) for $60,000
• Premium stage-side table for 10 guests, 10 tickets to VIP Reception and After Party, verbal acknowledgement, and listing on multiple signage  •  Full-page advertisement, company bio complete with logo, and Anniversary listing with logo in the Dinner Journal  •  Website listing

□ Please reserve ___  PLATINUM Table(s) for $50,000
• Premium table for 10 guests, 10 tickets to VIP Reception and After Party, verbal acknowledgement, and listing on multiple signage  •  Full-page advertisement, company bio complete with logo, and Platinum listing with logo in the Dinner Journal  •  Website listing

 Please reserve ___  GOLD Table(s) for $35,000
• Priority table for 10 guests, 4 tickets to VIP Reception and After Party, and listing on select signage  •  Half-page advertisement, company bio complete with logo, and Gold listing in the Dinner Journal  •  Website listing

□ Please reserve ___  SILVER Table(s) for $25,000
• Choice table for 10 guests, 2 tickets to VIP Reception and After Party, and listing on select signage  •  Company logo featured and Silver listing in the Dinner Journal  •  Website listing

□ Please reserve ___  BRONZE Table(s) for $15,000
• Table for 10 guests and Bronze listing in the Dinner Journal

□ Please reserve ___  TICKETS for $1,500
• One ticket and Contributor listing in Dinner Journal

□ I am unable to attend, but would like to contribute $ _____________

Enclosed is my check for  $ ____________

Please invoice me for      $ ____________

Please note how you wish to be listed for the Anniversary Dinner:

Name ______________________________________________________________
Title _______________________________________________________________
Company  __________________________________________________________
Address  ___________________________________________________________
City, State, Zip ______________________________________________________
Phone________________________________ Fax __________________________
Email ______________________________________________________________

Please return this form via fax (212) 997-0188
or call (212) 997-0100 ext. 230 for reservations


Please make checks payable to: American Australian Association and mail to: Benefit Office, 145 W 45th Street, Suite 300, New York, NY 10036

Contact: Nick Masciotti by phone (212) 997-0100 ext. 230, fax (212) 997-0188, or at
nmasciotti@projectsplusinc.com 

Contributions are fully tax-deductible to the extent allowed by law; the non-deductible portion of each dinner ticket is $200.  You may obtain a copy of our Annual Report by writing to NYS Office of the Attorney General, Charities Bureau, 120 Broadway, NY 10271 or at www.americanaustralian.org