Prevention of Blindness Society of Metropolitan Washington
NIGHT OF VISION
Prevention of Blindness Society of Metropolitan Washington
Night of Vision Gala 2008
The Four Seasons *
____________________________________________________________________________________
Name
(print clearly for listing purposes) Title
________________________________________________________________________ญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญญ____________
Company (print clearly for listing purposes)
____________________________________________________________________________________
Street
____________________________________________________________________________________
City State Zip
____________________________________________________________________________________
Phone (include area code) Fax
(include area code)
I am delighted to support the Prevention of
Blindness Society’s Night of Vision Gala 2007. Please note my contribution level below:
_____ ($10,000)
LEADER: Two tables of 10, in a preferred seating
section, a full-page black & white advertisement in the event
program
_____ ($5,000)
CORPORATE: Table of 10, in a preferred seating section,
a full-page black & white advertisement in the event program
_____ ($2,500)
SPONSOR: Six guest tickets, in a preferred
seating section, recognition in the event program
_____ ($1,500)
BENEFACTOR:
Four guest tickets, recognition in the event program
_____ ($1,000)
PATRON:
Two guest tickets, recognition in the event program
_____ ($500)
SUPPORTER:
Recognition in the event program. Does
not include ticket to Night of Vision.
_____ My payment
in the amount of $__________ is enclosed/will follow (please circle one). Please make check payable to the
“Prevention of Blindness Society” and send to: Night of Vision, Prevention of Blindness
Society,
_____ Charge my:
___ Visa ___ MasterCard ___ Amex Acct. No.______________________________________________
Name on the card:_________________________________________ Exp. Date _____________________________________
Signature: _____________________________________________________________________________
_____ If
you do not wish to be listed in event materials, please check here.
The Prevention of Blindness Society of Metropolitan
Washington is a 501(c)(3) not-for-profit organization. Contributions are tax- deductible in the
extent they exceed the value of benefits provided. The estimated value for each person attending
is $150. For more information, please
visit www.youreyes.org or call Michele Hartlove or Jessica Bunting at (202)
234-1010.