CHARITY GALA DINNER 2014 RESPONSE FORM Date: Friday, 28 November 2014, 7.00pm Venue: The Ritz-Carlton, Millenia Singapore (Grand Ballroom) Attn: Ms Michelle Too / Ms Shivvani Jegatheesan Tel: 6273 2010, Fax: 6273 2013 Email: [email protected] / [email protected] Address: 298 Tiong Bahru Road #09-05 Central Plaza Singapore 168730 Please reply via fax 6273 2013 or email [email protected] by 24 October 2014. Please tick the appropriate box and indicate the number accordingly. 1. We / I would like to purchase table(s) / seat(s) in support of Singapore Children's Society. Please indicate the number of tables / seats you wish to purchase: Price (Per Table of 10 Pax) No. of Tables Price (Individual Seat) $12,888 (Premium) *With recognition as a 1000 Enterprises for Children-in-Need / 1000 Philanthropists participant No. of Seats $1,000 $10,888 (Premium) $8,888 (Normal) *With recognition as a 1000 Enterprises for Children-in-Need / 1000 Philanthropists participant Note: Purchase of tables is entitled to 2.5 times tax exemption. $6,888 (Normal) 2. We / I would like to make an event sponsorship in support of Singapore Children's Society. Sponsorship Package Amount Diamond Sponsor $30,000 Platinum Sponsor $20,000 Gold Sponsor $15,000 3. We / I would like to make an outright donation of $ Entitlements - One complimentary Premium table - Acknowledgement on backdrop, programme brochure, publicity materials and verbal mention by emcee - Recognition as a 1000 Enterprises for Children-in-Need / 1000 Philanthropists participant - 2.5 times tax exemption benefits - One complimentary Normal table - Acknowledgement on backdrop, programme brochure, publicity materials and verbal mention by emcee - Recognition as a 1000 Enterprises for Children-in-Need / 1000 Philanthropists participant - 2.5 times tax exemption benefits - Five complimentary seats from Normal table Acknowledgement on backdrop, programme brochure and publicity materials Recognition as a 1000 Enterprises for Children-in-Need / 1000 Philanthropists participant 2.5 times tax exemption benefits in support of Singapore Children's Society. Enclosed is my cheque of ___________________________________ (Amount / Bank / Cheque No.) *Cheques are to be made payable to Singapore Children's Society OR Credit card (Visa / MasterCard) number: Expiry Date: --- - Name of Cardholder:__________________________________________________ $5,000 - Recognition as a 1000 Enterprises for Children-in-Need / 1000 Philanthropists participant - 2.5 times tax exemption benefits $10,000 - One complimentary Normal table - Recognition as a 1000 Enterprises for Children-in-Need / 1000 Philanthropists participant - 2.5 times tax exemption benefits Contact Person’s Particulars I/We hereby agree for Singapore Children’s Society to use my/our information for the following purposes related to: fund-raising, donor relationship management, marketing communications, public relations, publicity and volunteer management. If you do not wish to receive information pertaining to the above purposes, please notify us via email at [email protected]. Thank you. Personal Corporate (ROB/ ROC/ CRN/ MCST NO._________________________) Name (Dr / Mr / Mrs / Mdm / Ms) : NRIC: Organisation : Address : Email : Contact No. (during office hours) : (Off / Home) Signature (and company stamp, if applicable) : Date: Please Note: Outright donations will be granted 2.5 times tax exemption (e.g. if you donate $1,000, you will qualify for $2,500 tax deduction). For purchase of Premium / Normal tables and single seats, 2.5 times tax exemption will be entitled to the purchase amount, excluding the market value of the tables / seats. Cheques should be crossed and made payable to “Singapore Children’s Society” For enquiries, please contact Ms Michelle Too or Ms Shivvani Jegatheesan at 6273 2010 or email [email protected] / [email protected]. (HP)
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