Re s e r va t i o n I n fo rm a t i o n _______________________________________________________________ Name (Please print clearly.)
_______________________________________________________________ Company Name (if applicable)
_______________________________________________________________ Title (if applicable)
_______________________________________________________________ Address
_______________________________________________________________ City
State
ZIP
_______________________________________________________________ Telephone
Kosher and vegetarian dinner selections will be available upon request.
G iv i n g a n d S p o n s o r s h i p o I wish to be a sponsor. Indicate sponsorship level:____________________ $_____________ o Please make____________ ticket reservation(s) at $250 per person. o Please reserve_______________ table(s) for 10 at $2,000 per table. o I wish to purchase a (please circle) full-page / half-page journal ad for $____________________ . o I wish to place an ad on the back cover of the journal: $10,000 o I wish to place an ad on the inside front cover of the journal: $5,000 o I am unable to attend but would like to make a donation of $___________________ to benefit diversity-related scholarship, research, and community-based initiatives.
M et h o d of Pay m e nt o Enclosed is my check for $________________ (payable to Hofstra University Diversity Celebration)
o I wish to pay by credit card. Amount: $_____________________ o I am using a business credit card. o American Express o MasterCard o Visa Name printed on card______________________________________ Card number _________________________ Exp. date ____________ Signature _________________________________________________ Payment by credit card or check can be returned in the enclosed envelope or mailed to The National Center for Suburban Studies at Hofstra University®, 255 Hofstra University, Hempstead, NY 11549-2550. All contributions are tax-deductible to the extent allowed by law. Proceeds benefit diversity-related scholarships, research, and communitybased initiatives.
Givi ng a n d S p o n s o r s hi p O p p o r tu nitie s