PATRONS OF HONOUR
__ PATRON OF HONOUR ticket(s) at $1,000 each
$ _____________
__ Table(s) of 8 PATRONS OF HONOUR at $8,000 each
$ _____________
__ Table(s) of 10 PATRONS OF HONOUR at $10,000 each
$ _____________
SPECIAL MENTION DURING THE EVENING, SPECIAL SEAT(S), MEETING, PHOTOS AND RECEIPT FOR INCOME TAX PURPOSES OF $875 PER PERSON
ASSOCIATES
__ ASSOCIATE ticket(s) at $500 each
$ _____________
__ Table(s) of 8 ASSOCIATES at $4,000 each
$ _____________
__ Table(s) of 10 ASSOCIATES at $5,000 each
$ _____________
SPECIAL SEAT(S), PHOTOS AND RECEIPT FOR INCOME TAX PURPOSES OF $375 PER PERSON
FRIENDS
__ FRIEND tickets at $300 each
$ _____________
__ Table(s) of 8 FRIENDS at $2,400 each
$ _____________
__ Table(s) of 10 FRIENDS at $3,000 each
$ _____________
RECEIPT FOR INCOME TAX PURPOSES OF $175 PER PERSON
(SEE OVER)
REPLY FORM
DONATIONS
I cannot attend the event but wish to contribute to the discovery of new medical treatments by offering a $____________ donation.