2011 National Philanthropy Day

Reservation Form

Friday, November 18, 2011
11:00 am Luncheon Guests Arrive
11:30 am Luncheon Service Begins
12:15 pm Awards Program Begins

 


Directions:
Tab and type to complete this page.
Push the [Submit] button to start the reservation process.

Questions? Phone: 330-329-2472
Live Help: www.JacqConnect.us/go
Ticket orders will be accepted until November 4, 2011

 

Contact Information

Name

Organization

Address

City/State/Zip

Phone (000-000-0000)

Fax

Email Address of Contact (required)

Website (sponsors & patrons only) 

Ticket Order


Please reserve Patron Tickets @ $75 each for a total of $
     ($50 of each ticket is tax-deductible; patrons receive special recognition in the program and website)

Please reserve Friend Tickets @ $40 each for a total of $
     ($15 of each ticket is tax-deductible)

Please reserve Tables of Preferred Seating for 8 @ $450 each for a total of $
     ($250 of each table is tax-deductible; table sponsors receive special recognition in the program and website)

Program Booklet Advertisements

If you wish to purchase a congratulatory ad, please check below. Please submit your ad no later than October 15. Ads should be final size, 300-1200 dpi, and in one of the following electronic formats: EPS, TIFF, JPEG, or PDF. Questions on format should be directed to Jacquie Skrzypiec at info@afpncoh.org or 330-329-2472. 

Full-page ad (full-color, 8 inches high x 5 inches wide) - $600

Half-page ad (full-color, 4 inches high x 5 inches wide) - $300

Quarter-page ad (full-color, 4 inches high x 2.25 inches wide) - $150

I am unable to attend, but I am sending my tax-deductible donation of  $

Total Due:   $ 

If you make a reservation, you are responsible for the fee even if you do not attend.
Cancellations must be received by the posted reservation deadline.

Guest Names

Those who will attend the luncheon (this will be used for nametags ... be sure to include yourself!)
 

First Name
(include special honorifics such as Dr. or Fr.)

Last Name
(include special suffixes such as Jr. or Sr.)

Organization
(if different from above)
Meal Preference:
(check if vegetarian preferred)

1.                  

2.                   

3.                   

4.                   

5.                   

6.                   

7.                   

8.                  

 

Please enter this number in the field provided. If you do not, you will receive an error message.

   

By clicking below, you confirm that you understand that if you make a reservation,
you are responsible for the fee even if you do not attend.
Cancellations must be received by the posted reservation deadline
to be eligible for a refund or non-payment.

 


© 2004-2012 Association of Fundraising Professionals, North Central Ohio Chapter. All rights reserved.
330-329-2472 • 330-315-0399 Fax • 
info@afpncoh.org • PO Box 536, Cuyahoga Falls OH  44222

Mella A. Castner, President - castnerm@summahealth.org

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