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RSVP Form

Contact Information (required fields *)
First Name *
Last Name *
Position
Organization
Address *
City * State * Zip *

Email *
Day Phone * Cell Phone
Comments

Ticket Information
Tickets are being offered at a suggested donation price of $50 to help cover the costs of organizing the event. No paper tickets will be issued. RSVPs are strictly required to ensure entry to the event.
Please set aside: tickets for $  
Names of Guests:

Event Committee Journal

We invite all our partners, allies, and friends to join our Fifth Anniversary Event Committee by placing an advertisement/greeting in our celebratory journal. All event committee members will also be listed on our website.

  Select Journal Subtotal
Back Cover: $10,000 $
Gold Page: $5,000
Silver Page: $2,500
Regular Full Page $1,000

Specifications: 8.75" H x 7" W, black and white only. All artwork must be supplied on CD or via email in a PDF or JPEG format (300 dpi high resolution preferred), and received no later than November 17, 2009 for inclusion in the journal. All advertisement and journal enquiries should be emailed to: five@urbanagenda.org.


Total: $   
 
Additional instructions on next page.