O, YES! DONOR RESPONSE FORM

A. We would like to make a tax-deductible financial donation to Eastern University in support of the O, YES! conference and follow-up activities.

Name of organization (or individual):

Name of person representing organization above:

Address including zip code:

Phone number: E-mail address:

Website url:

TYPE OF PARTNERSHIP (check one):

Leader ($2,500 or more); Advocate ($1000+); Supporter ($250+); Church Partner ($100+) Youth Sponsor ($25/youth). Other:$ Make checks payable to: Eastern Universityor fill out the credit card information below:

Name on Credit Card:

Credit Card Number: Security Code:

Expiration Date (month, year): Amount enclosed:

LEADER / ADVOCATE / SUPPORTER / CHURCH PARTNER / YOUTH SPONSOR
$2,500 or more
  • Listed as co-sponsor (in all materials published after date of contribution)
  • Recognition on conference website including a link to your website
  • Logo on conference materials
  • Inclusion of your name in all media coverage
  • Full page ad in conference program/booklet*
  • Two complimentary registrations*
  • Booth & Exhibiting space for your organization*
/ $1000+
  • Listed as advocate (in conference book)
  • Recognition on conference website including a link to your website
  • ½ page ad in conference program/booklet*
  • Two complimentary registrations*
  • Booth & Exhibiting space for your organization*
/ $250+
  • Listed as supporter (in conference book)
  • Recognition on conference website
  • One complimentary registration*
/ $100+
  • Listed as a church partner (in conference book)
  • One complimentary registration*
/ $25/youth
  • For every $25 one youth can be sponsored to attend the conference
  • Recognition in the conference book

*Gifts are tax-deductible after subtracting amounts for these items:

B. We would like to make an IN-KIND DONATION of goods valued at: $

Goods enclosed/described:

Eastern University accepts certain pre-approved in-kind gifts. As required by law, when acknowledging such gifts, the University does not include a dollar value. Obtaining the fair market value of items donated is the sole responsibility of the donor. We encourage you to consult your tax advisor.

O, YES! EXHIBITOR AND ADVERTISING FORM

Name of Organization:

Name of Contact Person:

Address including zip code:

Phone number: E-mail address:

Website url:

PLEASE CHECK ALL THAT APPLY:

BOOTH SPACE (includes two exhibitor conference registrations):

Standard Rate, $125 Non-Profit Organization Rate, $100

Exhibiting Friday, 7/26, 6-9pm Exhibiting Saturday, 7/27, 8:30am-4:30pm

My organization would like to sell items at our booth.

Yes. If yes, what would you like to sell? (Items must be approved).

No

CONFERENCE BOOK AD (Black & White):

½ Page$75The conference book pages are 4.25” x 5.5”.

Full Page$100

Total Amount enclosed: $ Ads due by June 20, 2013.

PAYMENT: Check Credit Card: Visa or Master Card

Checks payable to:Eastern University

Credit Card Authorization:

Name on Credit Card:

Credit Card Number: CSV / Security Code:

Expiration Date (month, year):

MAIL FORM WITH DONATION TO:

Kimberlee Johnson, Director of CUYD; Eastern University Philadelphia

3300 Henry Avenue, 3 Falls Center, Philadelphia, PA 19129OR e-mail with credit card information to: