□ Please reserve _____ PLATINUM Tables(s) for $50,000

    Premium table for 10 guests and 10 tickets to VIP Reception
    Full-page advertisement, Platinum listing in Dinner Journal, website and event signage

 

□ Please reserve _____ GOLD Table(s) for $35,000

    Priority table for 10 guests and 4 tickets to VIP Reception
    Half-page advertisement, Gold listing in Dinner Journal, website and event signage

 

□ Please reserve _____ SILVER Table(s) for $25,000

    Select table for 10 guests and 2 tickets to VIP Reception

    Silver listing in Dinner Journal, website and event signage

 

□ Please reserve _____ BRONZE Table(s) for $15,000
    Table for 10 guests
    Bronze listing in Dinner Journal, website and event signage

 

□ Please reserve _____ INDIVIDUAL ticket(s) for $1,500

 

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

    Enclosed is my check payable to American Australian Association for $ ____________

    Please invoice me for $ ____________

 

 

Please complete the following: (Your name, title & company will be listed as provided)
Name      _________________________________________________________________
Title         _________________________________________________________________
Company _________________________________________________________________
Address   _________________________________________________________________
City         _________________________________  Zip _______________ State________
Phone      _________________________________  Fax ___________________________
Email       _________________________________________________________________