Name ____________________________________________________________
Organization ______________________________________________________
Address __________________________________________________________
__________________________________________________________________
City ______________________________________________________________
State ____________ Zip ____________________________________________
Phone ___________________________ Fax ____________________________
E-mail ____________________________________________________________
SPONSORSHIPS
Please check the level of participation you are interested in.
Tango
$15,000
Dinner sponsor receives a table of ten, the gala journal front or back inside cover, prominent recognition
throughout the event and inclusion all press releases and promotional materials advertising the event.
Swing
$10,000
Reception sponsor receives a table of ten, special section journal advertisement and prominent recognition
at the reception.
Salsa
$5,000
Entertainment sponsor receives six tickets, recognition at the event and a full-page ad in the gala journal.
Two-Step
$2,000
Floral sponsor receives two tickets, recognition at the event and a full-page ad in the gala journal.
Rumba
$2,750
Table of ten
Waltz
$275 ea.
Tickets to Gala: _______ (# of tkts.)
Please forward this form with payment, ad copy
and/or camera-ready ads to:
Helen Hayes Hospital Foundation, Inc.
51-55 Route 9W
West Haverstraw, NY 10993
For additional information, call Joanne Favata
Executive Director at 845-786-4365 · Fax: 786-4468
E-mail: foundation@helenhayeshosp.org
My check is enclosed payable to:
Helen Hayes Hospital Foundation, Inc.
Charge my:
Visa
MC
Discover
AMEX
Account #
Exp. Date
Signature
JOURNAL ADVERTISEMENTS
Inside Back Cover
$2,500
Half Page
$350
Inside Front Cover
$2,500
Quarter Page
$275
Special Section
$1,000
Message
$50
Full Page
$600
Please accept my donation of $
Printable sizes:
full page 7.5"w X 10"h; half page: 7.5"w x 5"h; quarter page: 3.75"w x 5"h. Camera ready ads should not be bordered. Any other logos
or art should be black and white or grayscale only.
No color files or art. Electronic files should be JPEG, TIFF, EPS (fonts converted to paths and all linked
files included), PDF ("press" quality setting) or Photoshop files at a resolution of 300 dpi. Digital files can be sent on CD, Zip or e-mailed (files no larger
than 1MB) to
fergusonl@helenhayeshosp.org. Please call 845-786-4133 if you have questions or concerns about art files.
Ad reservations and art are due no later than
September 15, 2006
MESSAGES
(maximum of 100 characters including spaces)
Helen Hayes Hospital Foundation Gala
The Starlight Ballroom
October 15, 2006
Pearl River Hilton, Pearl River, NY
