Re s e r v a t i o n I n f o r m a t i o n _______________________________________________________________ Name (Please print clearly.)
_______________________________________________________________ Company Name (if applicable)
_______________________________________________________________ Title (if applicable)
_______________________________________________________________ Address
_______________________________________________________________ City
State
ZIP
_______________________________________________________________ Telephone
Giving and Sponsorship o I wish to be a sponsor. Indicate sponsorship level:____________________ $_____________ o Please make____________ ticket reservation(s) at $250 per person. o Please reserve_______________ table(s) for 10 at $2,000 per table. o I wish to purchase a (please circle) full-page / half-page journal ad for $______________________ . o I wish to place an ad on the back cover of the journal: $10,000 o I wish to place an ad on the inside front cover of the journal: $5,000 o I am unable to attend but would like to make a donation of $__________________ to benefit diversity-related scholarships, research, and community-based initiatives.
M e t h o d of Pay m e nt o Enclosed is my check for $_______________. (payable to Hofstra University Diversity Celebration)
o I wish to pay by credit card. Amount: $_____________________ o Personal credit card o Business credit card o American Express o Mastercard o Visa Name printed on card______________________________________ Card number ___________________________ Exp. date_____/_____ Signature _________________________________________________ Payment by credit card or check can be returned in the enclosed envelope or mailed to The National Center for Suburban Studies at Hofstra University, 255 Hofstra University, Hempstead, NY 11549-2550. All contributions are tax-deductible to the extent allowed by law. Proceeds benefit diversity-related scholarships, research, and communitybased initiatives.