Sunday, October 15, 2017

Bel Air Bay Club, 16801 Pacific Coast Hwy., Pacific Palisades

5:30 P.M. VR Bar | 6:00 P.M. Buffet Dinner & Program

©2017 Common Sense Media

⎕ YES, I/WE ARE INTERESTED IN SPONSORING

THE EVENT AT THE FOLLOWING LEVEL:

Send registration form to:

⎕ Online: www.commonsensemedia.org/la-dinner-2017

⎕ Check is enclosed (please make payable to Common Sense).

⎕ Invoice: Send to sponsor contact listed above.

⎕ Credit card: ⎕ Visa ⎕ MasterCard ⎕ American Express

Amount: $

Name on card

Card number

Exp. date CCV

Billing address: ⎕ Same as above

Street

City State ZIP

Signature (required)

Payment Options*

AMEX 4-digit # on front, VISA/MC 3-digit # on back

Contact name

Title

Company

Street

City State ZIP

Phone ( ) Fax ( )

Email (required)

Please indicate how name(s) should appear for sponsor recognition purposes:

Sponsor Information

HERO • $5O,OOO

• 12 event tickets – premier reserved seating

• Logo/name recognition on all event materials, social

media promotion

• Full-page ad in event journal

• Provides funds for 100,000 LA students to receive our

gold-standard digital citizenship curriculum

ADVOCATE • $25,OOO

• 10 event tickets – priority reserved seating

• Logo/name recognition on all event materials, social

media promotion

• Full-page ad in event journal

• Provides funds for a local school district to receive

in-person training and hands-on support for deep

implementation of Common Sense programs

LUMINARY • $1O,OOO

• 8 event tickets – preferred reserved seating

• Logo/name recognition on all event materials, social

media promotion

• Underwrites the development of an online “teaching

with tech” training course for local educators

ENTREPRENEUR • $5,OOO

• 6 event tickets

• Logo/name recognition on all event materials

• Supports the creation of a lesson plan on news literacy

for LA students

TUTOR • $2,5OO

• 4 event tickets

• Logo/name recognition on all event materials

• Provides funds for 25 local educators to attend a

training on a topic like cyberbullying

PATRON • $1,25O

• 2 event tickets

• Name recognition on all event materials

INDIVIDUAL TICKET • $375

Sponsor Levels

⎕ HERO $5O,OOO

⎕ ADVOCATE $25,OOO

⎕ LUMINARY $1O,OOO

⎕ ENTREPRENEUR $5,OOO

⎕ TUTOR $2,5OO

⎕ PATRON $1,25O

⎕ INDIVIDUAL TICKET $375: Qty.

⎕ I cannot attend but wish to make a donation: $

* Please note: Fulfillment through a Donor-Advised Fund prohibits the receipt

of any goods or services in exchange for donation, including event tickets.

Print deadline for invitation recognition: August 15, 2017.

Print deadline for journal recognition: September 18, 2017.

Email: Lisa Solomon — lsolomon@commonsense.org

For more information, please contact

Lisa Solomon at 310-689-7536.

Mail: Common Sense

Attn: LA Dinner 2017

650 Townsend Street, Suite 435

San Francisco, CA 94103

Common Sense Media is a 501(c)(3) charitable organization (FEIN 41-2024986). All donations are tax-deductible to the extent allowable by law. Fair market value is $125 per ticket; tickets are nondeductible for tax purposes.

Sponsorship Registration Form

AN EVENING WITH THOMAS L. FRIEDMAN

AND COMMON SENSE

2017 Los Angeles Dinner