RESERVATION FORM

 

Join SHCC Scholarship Fund on

Wednesday, June 11, 2008

Reception 6:00 pm ~ 7:00 pm

Dinner 7:00 pm ~ 10:00 pm

 Seton Hall University

 Bishop Dougherty University Center

500 Orange Avenue

South Orange, NJ 07079

 RSVP by June 6, 2008

Business Attire Required

 

 

CORPORATE SPONSOR:   

____Platinum ~ $40,000: 2 Tables of 10 banner, premier seating & prominent program listing

____Gold ~ $25,000: Table of 10 banner premier seating & prominent program listing

____Silver ~ $15,000:  Table of 10 priority seating & prominent program listing

              ____ Bronze ~ $10,000:  Table of 10 good seating & prominent program listing

_____$500 Corporate Individual

 

NON-PROFIT SPONSOR

 _____ $3000 Table of 10   _____$300 Non-Profit Individual

_____$200 Individual Chamber Member

IMMEDIATE FAMILY OF SCHOLARSHIP STUDENTS _____$100

 

                                                       

Total Enclosed:                                 

PAYMENT METHOD:

Check:    

  Payment will follow: Check Payable To: SHCC Scholarship Fund.
Purchase Order: Purchase Order No.:

Credit Card:

Number:

Expiration Date:

CONTACT INFORMATION:

E-Mail:

Contact Name:
Title: 
Company Name:
Address:
City:
State:
Zip Code: 
Business Phone:
Business Fax:
Cell Phone

Please indicate Names of Attendees and the Event they are attending

LIST OF ATTENDEES: