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Western Diocese
of the Armenian Church of North America

2014 TOY

DRIVE

Bring a small,

new, unopened

toy with you to

the event!!!

Saturday December 6, 2014

Response Form

Please complete and mail this form to:

Western Diocese – Christmas Ball 2014, 3325 N. Glenoaks Boulevard, Burbank, CA 91504

Kindly RSVP for Event by November 28, 2014

and Submit Booklet Sponsorship/Messages by November 21, 2014

I. Personal information:

Name ______________________________________________________________________________

Telephone __________________________ Email:___________________________________________

Address _____________________________________________________________________________

II. Booklet Sponsorship: I/We wish to become a sponsor of this year’s commemorative BOOKLET in

the following category:

□ Outside Back Cover Sponsor “Reserved”

□ Inside Front Cover Sponsor $5,000 (includes 10 comp tickets)

□ Inside Back Cover Sponsor $5,000 (includes 10 comp tickets)

□ Platinum Sponsor $1,500 (full page and 6 comp tickets)

□ Gold Sponsor $1,000 (full page and 4 comp tickets)

□ Silver Sponsor $500 (half page and 2 comp tickets)

□ Bronze Sponsor $250 (quarter page)

□ Friend Sponsor $100 (line recognition)

Ad specifications

All pages are Full Color. Full page dimension is 8.5” x 11”.

Submit print ready art in .jpg, or high resolution PDF format. You may attach a copy of your logo or

other image for our designer to create an ad for you. Email your ads to H.Keyribarian@gmail.com.

Space to write a personal congratulatory message to honorees provided on the second page of this form

III. Tickets: Kindly reserve _______tickets @ $125 each

_______10-person table(s) @ $1250 each

_______12-person table(s) @ $1500 each

Please make checks payable to: Sponsorship ____________

Western Diocese of the Armenian Church Tickets ____________

Memo: Christmas Ball 2014 Grand Total ____________

(Form continued on next page)

2014 RSVP Form Page 1 of 2IV. List of names of those attending (tables are either for 10 or 12 people):

1. _____________________________________ 7. ________________________________________

2. _____________________________________ 8. ________________________________________

3. _____________________________________ 9. ________________________________________

4. _____________________________________ 10. _______________________________________

5. _____________________________________ 11. _______________________________________

6. _____________________________________ 12. _______________________________________

Personal Congratulatory message to honorees:

____________________________________________________________________________________

2014 RSVP Form Page 2 of 2

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