Registration Information

Thursday November 5th, 2009 at 6:30p.m.
VENETIAN BANQUET & HOSPITALITY CENTRE
219 Romina Drive, Vaughan, Ontario
HOW DO I GET MORE INFORMATION? GALA HOTLINE:416.410.2837 x 222 FAX APPLICATION: 416.410.2954 MAIL: Cheque payable to: The Joe DiPalma Foundation 641-1 Chrislea Rd. Vaughan, ON L4L 8A3

  View PDF version of this Registration Form
Will Attend
Dinner Donation Only
First Name
Last Name
Company
Address
City
Province
Postal Code
Country
Telephone
Fax
Email
Dinner Guest Names
CAN I HELP? I have merchandise to contribute to:
Silent Auction Gift Bags
Contribution Items
Guardian Angel Sponsor - $10,000
Prominent Recognition on Signage & Banners Full Colour Page in Program & Recognition on Gala Invitation 3 Full Dinner Tables (24 gala dinner tickets w/premium table seating)
Star Sponsor - $7,500
Prominent Recognition Banners Full Colour Page in Program 2 Full Dinner Tables (16 gala dinner tickets w/premium table seating)
Entertainment Sponsor - $4,500
Full Colour Page in Program & Recognition on Signage 6 gala dinner tickets and seating with Ted & Marion Outerbridge
Angel Sponsor - $2,500
Prominent Recognition Banners Full Colour Page in Program 1 Full Dinner Table (8 gala dinner tickets w/premium table seating)
Martini Bar Sponsor - $2,000   
Half Colour Page in Program & Recognition on Signage (4 gala dinner tickets)
Friends & Family Table $1,500
Business Card Greeting in Program 1 Full Dinner Table (8 gala dinner tickets)
  * Send logo and greeting to ralph@ppgadvertising.com
Donations (please select a donation ammount from the list below)
Total $




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641-1 Chrislea Rd., Vaughan, On., L4L-8A3 – 416-410-1122