IMF 14th ANNIVERSARY GALA
Ribbon of Hope ­ Making A World of Difference
Saturday, November 6, 2004
YES! I WANT TO SUPPORT THE GALA IN THE FOLLOWING MANNER:
I would like to purchase a table for 10 guests @ $2,500.
I would like to put together a table of 10 guests. I am paying for my _____ ticket(s) and
my guests will be paying for their own tickets.
I would like to purchase ________ individual tickets @ $250 for a total of $ ___________.
I would like to make a donation in the amount of $ __________.
I want to place a congratulatory message in the Tribute Journal.
The Gala Tribute Journal is a beautiful four-color collectible edition presented to all Ribbon of Hope guests and
contributors. It offers a tasteful, highly visible way to demonstrate your continued support and to
congratulate the International Myeloma Foundation, its honorees and its members.
Dr. Durie will receive a handcrafted leather-bound edition of the Tribute Journal as a lifetime keepsake of the
evening. We know a personal message from you would mean so much to him.
Copy text for the Tribute Journal is requested in the form of congratulatory messages and/or company logos.
For further information, please contact Candace McDonald at (800) 452-CURE (2873) or e-mail her at
CMcDonald@myeloma.org.
Tribute Journal Deadline is Friday, October 1, 2004.
Please don't delay, return this form with payment today!
2 Page Consecutive Four Color
(call for dimensions)
$5,000
Full Page Four Color
( 7.50" W x 10.00" H)
$3,000
Half Page Four Color
( 7.50" W x 4.25" H)
$1,500
Quarter Page Four Color
( 3.00" W x 4.00" H)
$ 750
Full Page Black and White
( 7.50" W x 10.00" H)
$1,000
Half Page Black and White
( 7.50" W x 4.25" H)
$ 500
Quarter Page Black & White
( 3.00" W x 4.00" H)
$ 250
THE TOTAL FOR ABOVE TICKETS AND/OR TRIBUTE AD IS: $
Enclosed is my check for this amount.
Please charge my credit card listed below:
AmEx
Visa
MC
Discover :
Exp.
Name as it appears on card:
Business Name:
Address:
City _______________________ State/Country_______________ Zip/Postal Code
Phone __________________ Fax_____________________ Email
The IMF is a qualified 501(c) 3 non-profit organization. Tax ID #95-4296919. Contributions to the IMF are tax-deductible to the
extent permissible by law. Please return form and payment to: International Myeloma Foundation, 12650 Riverside Drive,
Suite 206, North Hollywood, CA 91607.

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