___I/we would like to become an event sponsor at the...

Sponsorship Reply Form
___I/we would like to become an event sponsor at the following level:
___$10,000 Lead Sponsor: 10 tickets, opportunity to speak for 1 minute from podium, full page
program ad inside front or back cover, listing in printed program, on signage, and on Facebook
page (130,000 followers)
___$5,000 Upstander: 8 tickets, full page program ad, listing in printed program, on signage, and on
Facebook page (130,000 followers)
___$2,500 Benefactor: 6 tickets, half page program ad, listing in printed program and on signage
___$1,000 Patron: 4 tickets, listing in printed program and on signage
___$500 Friend: 2 ticket, listing on signage
___As a Sponsor, I/we will be using ____of my/our tickets.
___As a Sponsor, I/we would like to purchase ____ additional tickets at $200 each.
___I/we am/are unable to become an event sponsor this year, but would like to:
___Purchase ____ individual tickets at $200 each.
___Make a tax-deductible donation in the amount of $________.
_______________________________________________________________________________________
CONTACT/COMPANY NAME (as you would like it to appear on all materials and at check in)
_______________________________________________________________________________________
STREET ADDRESS
CITY
STATE
ZIP
_______________________________________________________________________________________
CONTACT PHONE
E-MAIL
___My/our gift is anonymous.
___Enclosed is a check made payable to the Tyler Clementi Foundation.
___Please charge $ _________ to my: ___Visa ___MasterCard ___American Express.
_______________________________________________________________________________________
CREDIT CARD NUMBER
EXP.DATE
SECURITY CODE
_______________________________________________________________________________________
CONTACT NAME ONE CARD
SIGNATURE
Please return this form by email to [email protected] (subject line: Upstander Event Gift) or by mail to The
Tyler Clementi Foundation, P.O. Box 54, Ridgewood, NJ 07451-0054.
Questions, please contact Jonill Mayer at 646-588-1248 or at [email protected].
For ad specifications or to purchase an ad or tribute, please see reverse side of this form.
The Tyler Clementi Foundation is a 501(c)3 organization. All but $75 of each ticket used is tax-deductible to the full
extend of the law.
Journal Reply Form
___I/we would like to purchase the following ad or tribute:
___Full Page Color $1,000 (7.5” h x 6.25” w)
___Full Page $750 (7.5” h x 6.25” w)
___Half Page $500 (3.75” h x 6.25” w)
___Quarter Page $250 (3.75” h x 3.12” w)
ALL TEXT AND ARTWORK IS DUE BY OCTOBER 24th, 2014. Please email the final file to
[email protected] (subject line: Upstander Journal) as a TIFF, PDF, EPS or JPEG without bleed
at 300 dpi. Journal ads will be printed in grayscale unless noted.
___In addition to/instead of an ad, I/we would like to:
___Purchase ____ individual tickets at $200 each.
___Make a tax-deductible donation in the amount of $________.
______________________________________________________________________________________
CONTACT/COMPANY NAME (as you would like it to appear on all materials and at check in)
______________________________________________________________________________________
STREET ADDRESS
CITY
STATE
ZIP
______________________________________________________________________________________
CONTACT PHONE
E-MAIL
___My/our gift is anonymous.
___Enclosed is a check made payable to the Tyler Clementi Foundation.
___Please charge $ _________ to my: ___Visa ___MasterCard ___American Express.
______________________________________________________________________________________
CREDIT CARD NUMBER
EXP.DATE
SECURITY CODE
______________________________________________________________________________________
CONTACT NAME ONE CARD
SIGNATURE
Please return this form by email to [email protected] (subject line: Upstander Event Gift) or by mail to The Tyler
Clementi Foundation, P.O. Box 54, Ridgewood, NJ 07451-0054.
Questions, please contact Jonill Mayer at 646-588-1248 or at [email protected].
For Sponsorship Opportunities, please see reverse side of this form.
ALL TEXT AND ARTWORK IS DUE BY OCTOBER 24th, 2014 to [email protected]
(subject line: Upstander Journal) as a TIFF, PDF, EPS or JPEG without bleed at 300 dpi.
The Tyler Clementi Foundation is a 501(c)3 organization. All but $75 of each ticket used is tax-deductible to the full
extend of the law.