Sponsor Reply Form

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2015 MEN OF DISTINCTION ANNUAL AWARDS LUNCHEON - WEDNESDAY, MAY 6, 2015
CHAIRMAN BOBBY TUDOR
SPONSOR REPLY FORM
Name:
(please print your name as you wish it to appear on all printed materials)
Address:
City:
State:
Home Phone:
Zip:
Office Phone:
Fax:
Email:
PLEASE RESPOND BY MARCH 20, 2015 TO APPEAR AS A SPONSOR IN PRINTED MATERIALS.
I wish to support the 2015 Men of Distinction Annual Awards Luncheon at the following level:
PRESENTING SPONSOR – $30,000
PARTNER – $25,000
BENEFACTOR – $15,000
SPONSOR – $7,500
BENEFACTOR COUPLE – $2,500
BENEFACTOR INDIVIDUAL – $1,500
INDIVIDUAL TICKET – $750
Or Please go to menofdistinction.org to support the event.
I cannot make the event, but would like to support medical research:
Support Medical Research (95% of your contribution goes to medical research)
Enclosed is a check made payable to:
MEN OF DISTINCTION OF GREATER HOUSTON
Please charge my:
Visa
MasterCard
AMEX
Name on Card:
Signature:
Discover
Card No.: _________________________________________
Expiration Date: _____________ CIV:
By signing below, I pledge the amount indicated above to be paid in full by Tuesday, April 1, 2015. I understand that
full payment must be received in order to receive the benefits of my sponsorship and that a signed form must be returned in
order for Men of Distinction to accept my pledge commitment. (Pledge payment reminders will be sent in March.)
Signature:
Date:
(Signature required for pledge commitments)
I am unable to attend the event, but enclosed is my tax-deductible donation of $
This gift is:
in honor of:
in memory of:
Name:
Please notify the following person(s) of my honor/memorial gift:
Name:
Address:
City:
State:
Zip:
The value of the goods and services received will be included in your Official Gift Receipt.
Please return this form by mail or fax to:
Men of Distinction
P.O. Box 130630 Houston, Texas 77219 • Telephone: 281-584-2219 • Fax: 281-584-2297
Men of Distinction is 501(c)(3) non-profit organization
or dwuthrich@menofdistinction.org
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