1. Healthcare

24TH ANNIVERSARY SCHOLARSHIP & AWARDS GALA
MILLENNIUM BILTMORE HOTEL
SATURDAY, JUNE 13, 2015 – 6:00 P.M.
∙ Reserve your sponsorship with this form ∙
By May 29, 2015
□ Foundation Partner $25,000 – Two
scholarships in your name, two premium tables
of ten seats, full-page advertising in Program,*
recognition by Dinner Emcee
Name ___________________________
Firm ____________________________
Address _________________________
□ Event Co-Sponsor $15,000 – One scholarship
in your name, two premium tables of ten seats,
full-page advertising in Program,* recognition
by Dinner Emcee
City ____________________________
State _______ Zip _________________
□ Platinum Sponsor $7,500 – One premium
table of ten seats, full-page advertising in
Program,* recognition by Dinner Emcee
Telephone _______________________
□ Gold Sponsor $5,000 – One table of ten seats,
half-page advertisement in Program,*
recognition by Dinner Emcee
E-mail __________________________
□ Silver Sponsor $3,750 – One table of ten
seats, quarter-page advertisement in Program,*
recognition by Dinner Emcee
□ Individual Sponsor $750 – Two seats,
mention in Program
□ Individual Patron $250 – One seat
□ Public Service Lawyer/Judge $180 – One
seat
□ I Want to Purchase a Program
Advertisement Only* (circle one):
Full Page $1,500 (7 ½ x 10 in)
Half Page $1,000 (4 ¾ x 7 ½ in)
Quarter Page $750 (3 ½ x 4 ¾ in)
*Submit camera-ready ad copy by May 29, 2015
Facsimile ________________________
Number of tables of ten (or individual tickets)
to be held at the door:
□ Reserve ___ table(s) of ten
-or□ Reserve ___ individual ticket(s)
TOTAL SUM ENCLOSED $______________
Please mail your tax-deductible contribution to:
MEXICAN AMERICAN BAR FOUNDATION
Tax Identification No. 95-4358513
c/o Office of Professor Cameron
Southwestern Law School
3050 Wilshire Boulevard
Los Angeles, California 90010
Questions? Visit www.themabf.org or
Contact Alma Vitela
(213) 247-8283
[email protected]