table reservation form

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.