Fort Bend Regional Council on Substance Abuse

Inaugural
Recognition
Luncheon

Honoring Helen Cordes with a
Lifetime Achievement Award

Thursday, February 11
11:30 - 1:30 PM
Texas Safari Ranch
11627 FM 1464
Richmond, Texas

Honorary Chairs
Bill Schwer and Bob Hargarther
 
Please fill out the form below or if you prefer, download the form here (please see PDF attachment) and fax to Laura Richard, (281) 207-2404. For further information contact Laura at lrichard@fortbendcouncil.org or at (281) 433-3363.
* indicates required fields
Name/Organization:*
First Name:*
Last Name:*
Spouse/Guest(s):
Address:*
Telephone #:*
E-mail Address:*
I  wish to be a "Platinum Sponsor" for $5,000. Benefits include: preferred seating  for ten (10); special recognition in event publicity; full-page ad with premium location in event program; photo shoot with luncheon chairs to be sent to print media; on-site signage and recognition during event; recognition in FBRC Newsletter.
I wish to be a "Gold Sponsor" for $2,500. Benefits include: reserved seating for ten (10); recognition in the media; recognition at the luncheon; full-page ad in event program; on-site signage at table and recognition during the event; and recognition in FBRC Newsletter.
I wish to be a "Silver Sponsor" for $1,500. Benefits include: reserved seating for ten (10); recognition at the luncheon; a half-page ad in the event program; signage at your table, and recognition in the FBRC Newsletter.
I wish to purchase a reserved table for ten (10) for $1,000.
I wish to purchase individual tickets for (number of guests) at $80 per person.
I cannot attend, but would like to donate $
   
Donation Amount (in U.S. Dollars) $


Number of guests requiring a vegetarian meal
 


Deadline for program sponsor listing is January 29, 2010.

Further questions or information contact: Laura Richard at or (281) 433-3363
Security
All personal information you submit is encrypted using industry standard technologies. If you choose to make a donation to FBRC, your credit card information will be used only for this transaction through our secure online payment system. FBRC does not retain credit card information.