The Elija Foundation ~ Empowering Long Island's Journey Through Autism

2008 GALA TICKET MAIL IN ORDER FORM
Print this page and Mail it to us
Chariot Award Recipient Julie Azuma, Parent Award Recipient Suzanne Reek & Community Award Recipient Assemblyman Rob Walker

PLEASE CLICK HERE TO ORDER ONLINE WITH A CREDIT CARD


Sponsorship Opportunities

I want to be a sponsor: _____ NO or _____ YES

If YES, Please check off your sponsorship level

_______ Corporate Sponsor $25,000 : Includes 2 tables of 12 with priority seating, recognition on our sponsor board, website, table card display and acknowledgement during the event from the MC and back cover in our dedication journal

_______ Chariot Sponsor $10,000:Includes 1 table of 12 with priority seating, recognition on our sponsor board ,website,table card display and a full gold page ad in our dedication journal.

_______ Benefactor $5,000: Includes 6 tickets with priority seating, recognition on our sponsor board, website and a full page silver ad in our dedication journal.

_______ Entertainment $3,000: Includes 4 tickets with priority seating, recognition on our sponsor board,website and a full page ad in our dedication journal.

_______ Friend $2,500: Includes 4 tickets and listing on sponsor board, website and a full page gold ad in journal

_______ Listing $1,000:Listing on Sponsor Board, Website and silver page in our dedication journal

Enter Sponsorship Text here (PHOTOS NEED TO BE MAILED IN or emailed to us)

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I cannot attend, but please accept my contribution of $ _____________


Sponsor a Raffle Basket $100. Includes signage of your generosity $__________


Individual Ticket Purchases

_________ Qty Elija Individual Tickets are $150.00 a piece


Dedication Journal Ads
Please enclose camera-ready art or Copy to be used. All art must be submitted no later than October 17 2008
Please select your Ad Size

________ Full page SILVER 8½ x11 ($1000)

________ Full page COLOR 8½ x11 ($500)

________ Full page BLACK and WHITE 8½ x11 ($250)
________ Half page 8 ½ x 5 ½ ($125)
_________ Quarter page 4 ½ x 5 ½ ($75)

ENTER TEXT/Signage COPY HERE (PHOTOS NEED TO BE MAILED IN)
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Contact Information

Name and Address :____________________________________________
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Email address :________________________________________

Day and Evening Phone numbers:__________________________or ______________________

Enter your guests names here: ____________________________________
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TOTAL AMOUNT ENCLOSED (THIS WILL BE CONFIRMED) $ _________________________

Any Special Instructions or Comments?________________________________
_________________________________________
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Mail to: ELIJA FOUNDATION GALA 2008
665 N. Newbridge Road
Levittown NY 11756