PROUDLY PRESENTS WEDNESDAY, MAY 29th • The Taglyan Complex, Hollywood, CA Ticket and Table Sales - Orders due May 23 Platinum Circle Gold Circle Silver Circle $7,500 / 2 tables of 10 $5,000 / one table of 10 $3,500 / one table of 10 And Platinum Ad And Gold Ad And Silver Ad in Tribute Book in Tribute Book in Tribute Book Full Page Black & White Ad- $1,000 Ad Dimensions: 6.5 “ W x 8” H + 1/8” bleed all around live area 5.5” W x 7” H SINGLE TICKET CATEGORIES Platinum Tickets Gold Tickets Silver Tickets Individual Tickets $750 / Ticket $500 / Ticket $350 / Ticket $250 / Ticket Number of Tickets_____ Number of Tickets_____ Number of Tickets_____ Number of Tickets_____ Contributions/ No Tickets PAYMENT INFORMATION $_______________________ Name: Enclosed is my check payable to: The Caucus for Producers, To pay by phone or ________________________________ Writers & Directors for more information, contact Allison Jackson at for $________________________________________ 310.550.7719 or email her at Billing Address:
[email protected] Charge to my ________________________________ Visa Mastercard AmEx American Spirit Awards City, State, Zip Committee Number ________________________________ Gary Smith, ___________________________________ American Spirit Award, Chair Phone Exp. Date____________________________________ Sharon Arnett and James Hirsch, ________________________________ CCV________________________________________ Co-Chairs Chuck Fries, Email Name on card Chair, Events Committee ________________________________ ___________________________________ Tanya Hart and Robert Papazian, Signature Caucus Co-Chairs ___________________________________ Deborah Leoni, Executive Director Mail form and payment to: The Caucus for Producers, Writers & Directors P.O. Box 11236 Burbank, CA 91510 OR Fax to 818.221.0347 - Tax ID Number 95-2982442 PROUDLY PRESENTS The Caucus presents The American Spirit Awards recognizing outstanding individuals who support, protect and promote the interests of storytellers including Producers, Writers and Directors.