King Celebration Reservations

Use this form to reserve seats at the next King Federal Holiday Celebration.

Reservations will be confirmed to the E-Mail or mailing address you enter below.

(Asterisk * denotes a required field)

Please provide the following information then click the CONTINUE button:



Mr./Ms.:	* First Name: * Last Name:
Title:
Company Name:
* Mailing Address:	Floor/Suite:
* City:	* State: * Zip Code:
* Telephone Number:	Fax Number:
E-mail Address:	Date: Monday, July 10, 2006 08:10 PM

* Select the number of Seats & Category or Greetings Space you wish to reserve:

* (click on your choice)

Table
Seats Journal

10 seats

select category

Select number &

category of seats

Select size of

greetings message

le Options

(Please select Category then click the CONTINUE button)

Underwriter ---
$25,000.00     includes:

Inner Circle table for 12 at Awards Dinner.
Inside cover or Platinum page greetings message.
Admission to Guest of Honor/VIP receptions.

Benefactor ---- $15,000.00     includes:
Preferred table for 10 at Awards Dinner.
Gold page greetings message.
Admission to VIP reception.

Sponsor -------- $10,000.00     includes:
Reserved table for 10 at Awards Dinner.
Silver page greetings message.
Admission for five (5) to VIP reception.

Patron ---------- $ 5,000.00      includes:
Regular table for 10 at Awards Dinner.
Full page greetings message.
Admission to general reception.

Table ----------- $ 3,000.00      includes:
Table for 10 at Awards Dinner.
Admission to general reception.

Category:           Total Amount: $



Individual Seat(s) Options

(Please select category and number of seats then click the CONTINUE button)

VIP -------------------
$1,500.00 Each

includes:   Inner Circle seat at Awards Dinner.
Admission to Guests of Honor/VIP reception.

Preferred ------------
$1,000.00 Each

includes:   Preferred seat at Awards Dinner.
Admission to VIP reception.

Reserved -------------
$500.00 Each

includes:   Reserved seat at Awards Dinner.
Admission to general reception.

Regular --------------
$300.00 Each

includes:   Regular seat at Awards Dinner.
Admission to general reception.

                                    Seats @ $ each = $



Greetings Message Options

(please select greetings message size then click the CONTINUE button)

Platinum Page ---------- $5,000.00 -- 8" wide x 10" deep

Gold Page --------------- $3,500.00 -- 8" wide x 10" deep

Silver Page -------------- $2,500.00 -- 8" wide x 10" deep

Full Page ----------------- $2,000.00 -- 8" wide x 10" deep

Half (1/2) Page --------- $1,000.00 -- 8" wide x 5" deep

Quarter (1/4) Page ---- $750.00 -- 4" wide x 5" deep

Listing -------------------- $500.00 -- Business Card

Greetings Size: Total Amount: $

Mechanicals: Camera Ready -- Photo Offset or Negative

Bleed: 1/2" (top & bottom) -- 1/4" sides ----- Screen size: 133 lines

* Please choose your method of payment:

* (Click on your choice)

CREDIT CARD

CHECK

PLEDGE

Please complete the
form below

Mail your check to the address below

A pledge reminder will be sent to you

Please note: reservations will not be confirmed until payment is received.

Thank You !

You have chosen to make your payment by Credit Card.

                    * Please complete this form then click the CONTINUE button:

*Amount to be charged:

$

* Credit Card:

* Cardholder's Name:



* Credit Card Number:



* Expiration Date:

   -- (mm/yy)

By submitting this form, you are representing that the credit card entered is valid;
that you are authorized to use this credit card and,
that you are giving CORE permission to charge this credit card for the amount indicated.



Thank You !

        You have chosen to make your payment by Check or Money Order.

                        Please write down this information then click the CONTINUE button:

   Make check or Money Order payable to:
CORE - Congress of Racial Equality

Amount of check:
$

And mail it to:
Congress of Racial Equality

817 Broadway 3rd Floor

New York, New York 10003

Attn: King Celebration Reservations



Thank You !



       You chose to be invoiced for your Reservations. Amount: $

             Please select one of the following options then click the CONTINUE button:

                        Mail the invoice to me at the address already provided above.

                         Mail the invoice to the following address:

Mr/Mrs:

     First Name:       Last Name:

Company Name:

Mailing Address:

     Suite/Floor:

City:

      State:        Zip Code:



                         Have someone contact me regarding my reservations at:

                               Telephone #:      Best time to call is between: and (indicate AM or PM)





Review Choices

        Please review and/or complete the choices you have made:

Category:

Number of Seats:

Greetings Size:

Total Amount Due: $

Method of Payment:

Pledge Option: