IOGA of NY Annual Meeting
November 4-5, 2009
SPONSOR FORM
Invoice Number:
Date:
* Name for Badge:
* Company:
* Address:
* City:
* State:
* Zip:
*Telephone:
Fax:
Email:
* denotes a required field
Dinner & Keynote Speaker
$2,500 (Includes two complimentary registrations.)**
Cocktail Reception Sponsor
$1,500 (Includes two complimentary registrations.)**
Platinum Sponsor
$1,000
Gold Sponsor
$750
Silver Sponsor
$500
Bronze Sponsor
$250
Donation Amount $:
NOTE: A 3% Handling Fee will be added to ALL credit card orders.
Total for Credit Card Order:
**PLEASE ADD REGISTRATION CONTACT INFORMATION FOR ALL COMPLIMENTARY REGISTRATIONS IN THE COMMENTS SECTION BELOW.
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2
Breast of Chicken w/Lemon Herb Sauce
1
2
Seared Salmon w/Dill Cream Sauce
1
2
Sirloin of Beef w/Mushroom Cabernet Demi Glaze
Since we are charged for all meals ordered, please let us know whether you will be joining us for each meal being served. Thank you!
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2
Luncheon 11/04/09
1
2
Cocktail Reception 11//04/09
1
2
Dinner 11/04/09
1
2
Luncheon 11/05/09
PLEASE ENTER ANY COMMENTS OR QUESTIONS IN THE FIELD BELOW
Comments:
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