Kidney & Urology Foundation of America’s

"Hat & Author Luncheon" Funding Opportunities Registration Form

Thursday June 7, 2012 • 11am to 2pm • The Mansion at The Woodlands

Sponsorships, Tickets/Tables and Journal Advertising

All Sponsorships include:
• Company Name on promotional materials including invitations, press releases and advertisements
• Company Name announced at Luncheon
• Company Name on the Sponsor Board to be displayed at the Luncheon
• Company Link on website on events page
• Special Listing in the Journal

Best Seller - $10,000
• Two Tables of 10 with preferred seating
• Inside cover or two page GOLD spread in Journal
First Edition - $5,000
• One Table of 10 with preferred seating
• GOLD Page Journal Ad
Page Turner - $2,500
• Six Tickets to Luncheon
• SILVER page Journal Ad
Novel - $1,250
• Four Tickets to Luncheon
• FULL Page Journal Ad
Key Chapter - $500
• Two Tickets to Luncheon
• HALF Page Journal Ad
Individual Tickets @ $150; # of Tickets:
Table of Ten @ $1,500; # of Tickets:
Guest Names:


Journal Advertising

Email journal ad (PDF, JPEG preferred) to by Friday, May 25, 2012
Back Cover (First Come Basis) - $5,000
(5"w x 8"h)
Inside Covers (First Come Basis) - $2,500
(5"w x 8"h)
Gold - $1,500
(5"w x 8"h)
Silver - $750
(5"w x 8"h)
Full White - $500
(5"w x 8"h)
Half - $250
(5"w x 4"h)
Copy below: If providing copy only, my message is below. If copy is not provided, your name and organization will appear in your ad.


Method of Payment

General Information
Email Address
Last Name
First Name
Address 2
Solicited by

Payment Information
Credit Card Number
Name On Card

CVV Security Code

Billing Information
Last Name
First Name
Address 2

RSVP by Sunday, June 3, 2012
Questions?: Email OR call Tracey Gittere at (516) 222-0550

Please note: $95 of each Luncheon ticket purchased is tax-deductible. Federal Tax ID: 131-777-413


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Kidney & Urology Foundation of America
2 West 47th Street, Suite 401, New York NY 10036