King Celebration Reservations

Use this form to reserve seats at the next King Federal Holiday Celebration.

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: Monday, July 10, 2006 08:10 PM

* 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

le 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 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: King Celebration 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.

For your protection, information supplied on this form is transmitted directly to CORE's Awards

Dinner Committee over a secured line. Information on this form is confidential and will not be shared or sold.

* * * * * * * *

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CORE -- Congress of Racial Equality * 817 Broadway 3rd Floor * New York, N.Y. * 10003 * Tel: (212) 598-4000 * Fax: (212) 982-0184