INTERNATIONAL MYELOMA FOUNDATION
IV Annual Robert A. Kyle
Lifetime Achievement Award Dinner



Honoring

Brian G.M. Durie, M.D.
National Director for Hematologic Malignancies, Aptium Oncology, Inc.
Chairman, International Myeloma Foundation
Specialist, Multiple Myeloma and Related Disorders,
Cedars-Sinai Outpatient Cancer Center

Tuesday, May 16, 2006
The National Press Club
529 14th Street NW
Washington, D.C.


Past Honorees: Robert A. Kyle, M.D., Bart Barlogie, M.D., and Kenneth C. Anderson, M.D.

Tribute Journal Opportunities

The Tribute Journal is given to all guests and offers a visible way for you to show your support
and congratulate the International Myeloma Foundation (IMF), Dr. Brian Durie, and past honorees.
The IMF is a 4 Star 501(c) 3 non-profit organization, Federal Tax ID # 95-4296919.



Contributions are tax deductible to the extent permissible by law.



Premier Color Page

7.50" W x 10.00" H



$5,000


Prime Color Page


7.50" W x 10.00" H



$2,500


4-Color Page


7.50" W x 10.00" H



$1,500


Black & White Page

7.50" W x 10.00" H



$1,000


Black & White Half Page

7.50" W x 4.25" H



$ 500


Black & White Quarter Page
3.00" W x 4.00" H



$ 250



ARTWORK FOR ADS DUE APRIL 19, 2006

FULL PAGE 7.5" X 10" (W x H)

Copy for the Tribute Journal is requested in the form of

congratulatory messages and/or company logos.
Please provide all artwork as a pdf, tif, or jpeg file in high-resolution (300 dpi) at 100%.


Please email: sbattaglia@myeloma.org

Name: ____________________________Title: _________________________________________________________
Institution/Company/Organization: __________________________________________________________________
Address: _____________________________________City/State/Zip: ______________________________________
Contact Name: ___________________________________________________________________________________
Phone: ________________________ Fax: _________________________Email: _______________________________
AMEX/Visa/MC/ Discover __________________________ Exp __________________________________________

Please Return form to: International Myeloma Foundation, 12650 Riverside Drive, Suite 206, N. Hollywood, CA 91607.



You may fax this form to 818-487-7454. Please make checks payable to the IMF.
For further information, please call Suzanne Battaglia at 818-487-7455 or email sbattaglia@myeloma.org.

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