TABLE RESERVATION FORM TUESDAY, SEPTEMBER 8, 2015 Hyatt Regency Denver at the Colorado Convention Center, Centennial Ballroom 650 15th Street, Denver, CO 80202 5:30 p.m. Cocktail Reception 7:00 p.m. Dinner Please indicate the sponsorship level you are purchasing: _____ $50,000 Korbel Dinner Title Sponsor (3 tables of 10) _____ $25,000 Bridge Builders Sponsor (2 tables of 10) _____ $15,000 Global Sponsor (table of 10) _____ $10,000 Heber Harper Community Sponsor (table of 10) _____ $7,500 Korbel Sponsor (table of 10) _____ $5,000 Cherrington Sponsor (table of 10) a limited number of these tables are available $750 per table (regardless of level) is non-deductible; the balance is deductible for income tax purposes. Please check your method of payment below: Enclosed is my check for $ ________ made payable to University of Denver Please charge my credit card $______ MasterCard Visa Discover American Express Card #: __________________________________________________________________________ Exp. Date: ________________________________________________________________________ Signature: ________________________________________________________________________ Please bill me for $ ______ at the address below Acknowledgement of a corporate table sponsorship will appear in the 2015 Korbel Dinner program by the name of the organization listed below, unless otherwise indicated.* CONTACT NAME: ________________________________________________________________ ORGANIZATION: ________________________________________________________________ NAME OF TABLE (if different from organization): ____________________________________________ STREET ADDRESS: _______________________________________________________________ CITY/STATE/ZIP: ________________________________________________________________ TELEPHONE NUMBER: _________________FAX NUMBER: ____________________________ E-MAIL ADDRESS: _________________________________________________________________ Please mail form to: 2015 Korbel Dinner, PO Box 101884, Denver, CO 80250 or fax to (303) 871-2456 To register online, go to: www.alumni.du.edu/korbeldinner2015 *Dinner program deadline is Friday, August 14, 2015. Reservations received after this will not be included in the program.
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