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TABLES, TICKETS & UNDERWRITING FORM Please select one of the following: TABLES ___ Platinum Table - $10,000

___ Gold Table - $5,000

(Includes 10 guests per table, a Platinum Journal Page and Premier Seating)

(Includes 10 guests per table, a Gold Journal Page & Premier Seating)

___ Silver Table - $2,500

___ Table - $2,000

(Includes 10 guests per table, a Silver Journal Page & Premier Seating)

(Includes 10 guests per table)

TICKETS ___ Platinum Benefactor Tickets - $1,000 each

___ Benefactor Tickets - $500 each

(Includes special mention in Journal & Premier Seating)

(Includes special mention in Journal & Elite Seating)

___ Patron Tickets - $250 each

___ Friend Tickets - $200 each

(Includes special mention in Journal)

UNDERWRITING (All underwriters will be recognized in print and online media.)

___ Event Underwriting - $20,000 ___ Cocktail Reception Underwriting - $5,000

___ Diner Underwriting - $10,000 ___ Decorations Underwriting - $3,000

CHECKOUT  First & Last Name of Individual __________________________________________________  Address  _____________________________________________________________________  City ___________________________ State _____________ Zip Code ___________________  Email ___________________________________________ Phone ______________________   

PAYMENT INFORMATION  Enclosed is a check in the amount of $___________ or Please charge my/our credit card in the amount of $ ____________  Circle one:  a) Amex   b) Discover   c) MasterCard   d) Visa           Name on Card _________________________________________________  Credit Card # __________________________________________________  Authorized Signature ___________________________________Expiration Date ____________ Security Code ___________       

Please send your completed form and payment to: Attn: Kate Fiscus • Loyola School • 980 Park Avenue • New York, NY 10028 Email: kfiscus@loyola-nyc.org • Office Phone: 646.346.8135

Loyola School thanks you for your support!


Tables, Tickets & Underwriting  

"Tables, Tickets & Underwriting"

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