Bright Stars Reservation Form - Easterseals
Transcript of Bright Stars Reservation Form - Easterseals
Wednesday, March 30 • Reception 5:00pm • Circus 7:00pm
SHARE THE JOY of the Ringling Bros. and Barnum & Bailey Circus® with someone whose every day obstacles may not allow them to attend. Because of your support, thousands of children and adults with disabilities, including veterans, wounded warriors, and other deserving families will be able to enjoy an exciting night at the circus.
FUNDS WILL BENEFIT Easter Seals Serving DC|MD|VA and will enable Easter Seals to continue to provide exceptional services for individuals with disabilities or special needs and their families, so that they can live, learn, work and play in our communities.
Sponsorships offer opportunities for companies to entertain guests or clients, to reward employees, or provide families with a fun-filled evening while supporting Easter Seals. Sponsorships start at $1,000.00. Additional ticketing options are also available.
Easter Seals Serving DC|MD|VA • 1420 Spring Street, Silver Spring, MD 20910For additional information, contact Kamika Hind, Director of EventsEmail: [email protected] | Phone: 301.920.9702 | Website: BrightStarsDC.org
Bright Stars Committee
CO-CHAIRS Cecilia Hodges, M&T Bank ★ Craig Ruppert, Ruppert Companies
FOUNDING CO-CHAIR David A. Ross, Atlantic Realty Companies
EXECUTIVE VIPSZiggy Chelec, Zalco Realty Inc.Carl McNair, CPS Professional Services LLC
Bill Meissner, Ruppert Companies
Alan Meltzer, The Meltzer Group Stephen Miller, SBM Marketing LLC
Dan Magder, Center Creek Capital Group
Deann O’Brien, M&T Bank
Marty & Doug Pritchard, Century 21 New Millennium
Juliette Rizzo, U. S. Dept. of Education
Chris Ruppert,Curtis RuppertVic Seested, UBS Private Wealth Management
Cal Simmons, Tiger21
Chad Tyler & Joe Donegan, Tyler Donegan Real Estate
W. Glenn Yarborough, WGY & Associates
HOST VIPSDavid Bagnoli, McGraw Bagnoli Architects
Scott Becker, Century 21 New Millenium
Rick Carmean, Red Zebra Broadcasting
Lauree ConnorsHilary Fordwich, Strelmark, LLC
Betty & John Jedrlinic, Amway
Nancy Johnson, Squire, Lemkin + Company
John Harich, Ruppert Landscape
Michael Harper, Summit Marketing Group
Channel Hilliard, The Carlyle Group
Bright Stars Night at the Circus 2016!
Presenting Sponsor
Media Sponsor
Wednesday, March 30 • Reception 5:00pm • Circus 7:00pm
Reservation Form
SPONSORSHIPS $25,000 INDEPENDENCE (100 Premium Level Circus Tickets & 20 Reception Tickets; FMV: $7800) $10,000 EMPOWERMENT (40 Premium Level Circus & 10 Reception Tickets; FMV: $2320) $5,000 OPPORTUNITY (20 Premium Level Circus & 6 Reception Tickets; FMV: $1160) $2,500 DIGNITY (10 Premium Level Circus & 4 Reception Tickets; FMV: $580) $1,000 ABILITY (4 Premium Level Circus & 2 Reception Tickets; FMV: $232)
FRIENDSHIPS $500 (6 Circus Tickets, FMV: $198) $250 (4 Circus Tickets, FMV: $132) $100 (2 Circus Tickets, FMV: $66)
Matching tickets will be provided to children & adults with disabilities including wounded warriors and military veterans.
I would like to donate my tickets to Easter Seals, allowing my entire gift to be tax‐deductible and used for services for children and adults with disabilities and their families including wounded warriors and military veterans. Please donate my tickets!
I would like to make a donation in another amount not shown above: $________
DONOR INFORMATION: (PRINT AS IT SHOULD APPEAR ON PRINTED MATERIALS)
Name:_________________________________________________________ Is this a Personal Gift OR Company Gift?
Company: (if business donation) _______________________________________________________________________
Street Address: __________________________________________________________________________________
City: ____________________________________________ State:_________________ Zip:_____________________
Phone (daytime):______________________________________________ FAX:________________________________
Email: ________________________________________________________________________________________
PAYMENT TYPE: Enclosed is my Check/Money Order (payable to Easter Seals)
Please Charge: VISA MasterCard AMEX
Name as it appears on card: ____________________________________________________________
Account #:____________________________________________ Exp. ____________/____________
Signature:_____________________________________________ Date:________________________
Thank you for supporting Easter Seals, a 501(c)3 nonprofit organization.
Bright Stars Night at the Circus 2016!
Your VIP Committee Member’s Name:
Easter Seals Serving DC|MD|VA • 1420 Spring Street, Silver Spring, MD 20910For additional information, contact Kamika Hind, Director of EventsEmail: [email protected] | Phone: 301.920.9702 | Website: BrightStarsDC.org