7LegRevueForm


	ORDER FORM BELOW

Tuesday, May 20, 2008

ACT I - 6:00pm: Reception/Cocktail Party/Light Supper
ACT II - 7:15pm: Awards Presentation/ An Evening with the Bacon Brothers
ACT III - 8:30pm: Dessert Extravaganza

For information contact mmontoya@queenstheatre.org
or call 718.760.0686 ext 106

Order Form for Sponsorship, Journal Ads, Donations, Tickets

First Name:
Last Name:
Title:
Business:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Email Address:
Phone Number:
Fax Number:

Click all that apply
THE 2008 GALA SPONSORSHIPS:
Lead Sponsor ($25,000)
Performance or Reception Underwriter ($15,000)
Producer ($10,000)
Associate Producer ($5,000)
Donor ($2,500)
THE 2008 GALA JOURNAL ADS:
Full Page ($1,000)
Half Page ($500)
Quarter Page ($300)
THE 2008 GALA TICKETS:
@$400
@$250
I WOULD LIKE TO MAKE A CONTRIBUTION IN THE AMOUNT OF $

Comments:

(PLEASE NOTE: ONCE YOUR ORDER IS FINALIZED YOU WILL RECEIVE AN E-MAIL CONFIRMATION)