Please return the completed form below
with your contribution by June 9, 2012
_____ Host: $5000.00
includes private reception and photo with the Governor, recognition on
banner and 8 tickets
_____ Co-Host:
$2500.00 includes private reception, recognition on banner, and 6 tickets
_____ Sponsor:
$1500.00 recognition on banner, and 4 tickets
_____ I am not
able to attend but here is a contribution to Friends of Bryce Reeves for
$_______________
Name:___________________________________________________________________________________________
Address:___________________________________________________City/State/Zip:__________________________
Contact
Phone:____________________________________________
Business________________________________
Phone:_______________________________
Email:___________________________________________________________________________________________
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