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Harmony Awards Reservations

 

Use this form to reserve seats at the next Harmony Awards Dinner.

 

Reservations will be confirmed to the E-Mail or mailing address you enter below.

 

(Asterisk * denotes a required field)

 

         Please provide the following information then click the CONTINUE button:

 

Mr./Ms.:

  * First Name:     * Last Name:  

Title:

Company  Name:

* Mailing Address:

   Floor/Suite:

* City:

  * State:   * Zip Code:  

* Telephone Number:

   Fax Number:

E-mail Address:

    Date:  Tuesday, June 06, 2006 01:14 AM

 

 

 

 

                                         

 

 

 

 

        * Select the number of Seats & Category or Greetings Space you wish to reserve:

 

 

* (click on your choice)

 

Table

Seats Journal

10 seats

select category

Select number &

category of seats

Select size of

greetings message

 

 

 

 

 

 

 

Table Options

 

(Please select Category then click the CONTINUE button)

 
Underwriter --

$25,000.00     includes:

 Inner Circle table for 12 at Awards Dinner.                   Inside cover or Platinum page greetings message. Admission to Guest of Honor/VIP receptions.

 

Benefactor --- $15,000.00     includes: Preferred table for 10 at Awards Dinner.                       Gold page greetings message.                                       Admission to VIP reception.

Sponsor -------- $10,000.00     includes: Reserved table for 10 at Awards Dinner.                       Silver page greetings message.                                     Admission for five (5)  to VIP reception.
Patron ----------- $ 5,000.00      includes: Regular table for 10 at Awards Dinner.                           Full page greetings message.                                         Admission to general reception.
Table ------------- $ 3,000.00      includes: Table for 10 at Awards Dinner.                                         Admission to general reception.

 

Category:           Total Amount: $

 

 

    

 

 

 

 

 

 

 

 

Individual Seat(s) Options

 

(Please select category and number of seats then click the CONTINUE button)

 

VIP ---------------

$1,500.00  Each     

 

includes:   Inner Circle seat at Awards Dinner.

Admission to Guests of Honor/VIP reception.
Preferred ------

$1,000.00  Each

 

includes:   Preferred seat at Awards Dinner.

Admission to VIP reception.

Reserved ------

$500.00  Each

includes:   Reserved seat at Awards Dinner.

Admission to general reception.

Regular --------

$300.00  Each

includes:   Regular seat at Awards Dinner.

Admission to general reception.

 

 

Seats @ $ each = $

 

 

    

 

 

 

 

 

 

Greetings Message Options

 

(please select greetings message size then click the CONTINUE button)

 

Platinum Page -------- $5,000.00 -- 8" wide x 10" deep 
Gold Page --------------- $3,500.00 -- 8" wide x 10" deep
Silver Page ------------- $2,500.00 -- 8" wide x 10" deep
Full Page ---------------- $2,000.00 -- 8" wide x 10" deep
Half (1/2) Page -------- $1,000.00 -- 8" wide x 5" deep
Quarter (1/4) Page --- $750.00 -- 4" wide x 5" deep
Listing -------------------- $500.00 -- Business Card

 

Greetings Size: Total Amount: $

 

Mechanicals:  Camera Ready -- Photo Offset or Negative

Bleed: 1/2" (top & bottom) -- 1/4" sides  -----  Screen size:  133 lines

 

    

 

 

 

 

 

 

 

            * Please choose your method of payment:

* (Click on your choice)

 

CREDIT CARD

CHECK

PLEDGE

Please complete

the form below

Mail your check to the address below

A pledge reminder

will be sent to you

 

Please note: reservations will not be confirmed until payment is received.

 

 

 

 

 

 

 

Thank You !

You have chosen to make your payment by Credit Card.

 

                    * Please complete this form then click the CONTINUE button: 

 

*Amount to be charged:

$

* Credit Card:

* Cardholder's Name:

  

* Credit Card Number:

  

* Expiration Date:

-- (mm/yy)

 

By submitting this form, you are representing that the credit card entered is valid;

that you are authorized  to use this credit card and, that you are voluntarily

giving CORE  permission to charge this credit card for the amount indicated.

 

 

      

 

 

 

 

 

 

Thank You !

 

 

 

            You have chosen to make your payment by Check or Money Order.

 

                        Please write down this information then click the CONTINUE button:

 

  Make check or Money Order payable to:

CORE - Congress of Racial Equality
Amount of check:
$

And mail it to:

Congress of Racial Equality
817 Broadway  3rd Floor
New York, New York  10003

Attn:  Harmony Reservations

 

 

     

 

 

 

 

Thank You !

 

        

           You chose to be invoiced for your Reservations.  Amount:  $

               

                    Please select one of the following options then click the CONTINUE button:

 

                         Mail the invoice to me at the address already provided above.

                         Mail the invoice to the following address:

 

Mr/Mrs:

     First Name:       Last Name: 

Company Name:

Mailing Address:

     Suite/Floor:

City:

      State:        Zip Code:

                  

                         Have someone contact me regarding my reservations at:

 

Telephone #:      Best time to call is between: and  (indicate AM or PM)

                    

 

      

 

 

 

 

 

 

 

 

Review Choices

 

 

            Please review and/or complete the choices you have made:

 
Category:    
Number of Seats:     
Greetings Size:    
Total Amount Due: $ 
Method of Payment:     
Pledge Option:    

 

 

 

 

 

 

 

Thank You !

       

            Enter any comments you may have then click the SUBMIT FORM button:

CORE enjoys a 501(C)3 status with the Internal Revenue Service.

Contributions to CORE are tax deductible to the extent allowed by law.