“Building Bridges and Making a Difference”

April 23, 2004 · 6PM

Radisson Plaza Hotel · Kalamazoo

Banquet Ticket/Sponsorship Form

Your Support to ADC Kalamazoo will promote and preserve civil rights through education and outreach. By celebrating our rich diversity and enhancing racial and ethnic relations, you share our pride and support for our common humanity

Print this Form, complete, and mail to the address below.

ÿ Platinum Level ............……...$2,500 One banquet table of eight seats, special recognition during banquet, one page black and white ad in program book, and listing in program book. ÿ Silver Level...........…...............$1,500 One banquet table of eight seats, and one black and white half-page ad in banquet program book, and listing in program book. ÿ Honorary Host ..................…... $750 One banquet table of eight seats, and listing in program book. ÿ Reserved Table............……......$400 One banquet table of eight seats. ÿ Full-Page Advertisement ....….$300 ÿ 1/2-Page Advertisement .……..$200 ÿ 1/4-Page Advertisement ..…….$125 ÿ Business card Advertisement ....$50 ÿ Tickets $50. ____ x $50 =_________ ÿ Tickets $35. ____ x $35 =_________ (Student/limited income only) TOTAL AMOUNT ENCLOSED:___________

Name__________________________________________ Title___________________________________________ Company_______________________________________ Address________________________________________ City___________________________________________ State__________________________ Zip_____________ Telephone _____________________________________ Email_________________________________________ Please make checks payable to the ADC. Tickets will be mailed to the address above within one week. Send your payment with this form to: Deadline for advertisements is April 9, 2004 Email digital ads to info@adckazoo.com ADC Kalamazoo P.O. Box 553 Portage, Michigan 49081-0553 Tel: (269) 372-4196 Email: info@adckazoo.com www.adckazoo.com