PRESENTING PARTNER 30th ANNIVERSARY OF THE EVENING a BENEFIT EVENING in support of Scleroderma Quebec October 22, 2019 Cabaret du Casino de Montréal 6:00 p.m. Cocktail — 6:45 p.m. Dinner — 8:15 p.m. Show Another great moment this year as Robert Charlebois will again perform at our benefit evening. He will share the stage of the Cabaret with his musicians, and renown guests. Luce Dufault, Marjo, Geneviève Jodoin, winner of La Voix and Jérôme Charlebois who will perform classics and other songs from the great singer’s new album. This edition, which marks the 30th anniversary of the foundation, will be uniquely festive and lively! Robert Charlebois has always reinvented himself to support this cause that he’s held close to his heart for many years. Jérôme Charlebois Geneviève Jodoin and his guests Marjo Luce Dufault Stage Director : Jérôme Charlebois 05062019 Scleroderma Quebec | Telephone: 514-990-6789 - 1-844-990-6789 | [email protected] PRESENTING PARTNER OF THE EVENING 30th ANNIVERSARY a BENEFIT EVENING in support of Scleroderma Quebec October 22, 2019 Cabaret du Casino de Montréal PARTNERSHIP PLAN DIAMOND PLATINUM RUBY GOLD SILVER BRONZE $15,000 $10,000 $7,500 $5,000 $3,750 $2,500 Number of tickets included: 8* 8* 8* 8* 4 2 *a table for 8 guests Logo on the welcome banner X at the guest entrance Logo on the tent cards placed on X X every table Preferred table placement X X X Sponsor's logo in continuous X X X X projection during the evening Logo in the programme X X X X X X 29052019 PRESENTING PARTNER OF THE EVENING 30th ANNIVERSARY BENEFIT EVENING a In support of Scleroderma Quebec October 22, 2019 Cabaret du Casino de Montréal REGISTRATION FORM / SPONSORS AND TABLES To confirm your sponsorship, please return this completed form by email to [email protected]. For credit card reservations, please send by fax to 514-666-1639 or by mail. Method of payment: q Cheque q Visa q MasterCard q Please invoice me by mail Credit Card Number Expiration Date _________ / _________ Card holder’s name Signature (Credit Card) Address your cheque to Scleroderma Quebec and send it with the form to: Scleroderma Quebec - 550, chemin Chambly, Suite 40 Longueuil QC J4H 3L8 For more information: 514-990-6789 / 1-844-990-6789 Information to be completed for the tickets and for billing purposes: Name Company Address Suite/Floor City Postal Code Telephone Email address to send the electronic tickets I accept email communications from Scleroderma Quebec. My choice (See the detailed benefits on the attached partnership plan) DIAMOND Sponsor — $15,000 GOLD Sponsor — $5,000 PLATINUM Sponsor — $10,000 SILVER Sponsor — $3,750 RUBY Sponsor — $7,500 BRONZE Sponsor — $2,500 Corporate Table for 8 people - preferred table placement - $7,500 * Corporate Table for 8 people - $5,000* *A tax receipt for the donation portion will be sent later. Donor I cannot attend the Benefit Evening but wish to make a donation: $ (For donations, a tax receipt for the entire amount will be sent later.) 29052019 NAME OF THE PERSON WHO CONTACTED YOU: .