USG Foundation Regents Awards Celebration

Corporate Reservation Form

Please complete this form and click "Continue" to submit your reservation for the 2010 Regents' Awards Celebration Event.
Deadline for reservation submission is February 22, 2010.

NOTE: No payment is required at this time. This form is for event reservations ONLY.
Please do not submit this form more than once.

Host Organization

Table Host

First name: (may include middle initial or name)

Last name:

Organization Contact Information (REQUIRED FOR CONFIRMATION & RESERVATION)

Contact Name

First name: (may include middle initial or name)

Last name:

Email Address *

Mailing Address 1

Mailing Address 2

City

State Zip code

Telephone (format: xxx-xxx-xxxx)

*Guest ticket confirmation will be sent via email to the organization contact above.

Table Package (select one, click title for details)

Presenting Sponsor - $50,000 (2 Tables)

Twenty tickets for the Reception and Silent auction
Two reserved tables for ten in a prominent location
Company representative to participate in awards ceremony
Company recognition prominently displayed in the event program and throughout evening via projection
Profile of company and/or company representative in the event program

Platinum Sponsor - $25,000 (1 Table)

Ten tickets for the Reception and Silent auction
One reserved table for ten in a prominent location
Company recognition from podium
Company recognition prominently displayed in the event program and throughout evening via projection

Gold Sponsor - $10,000 (1 Table)

Ten tickets for the Reception and Silent auction
One reserved table for ten in a prominent location
Company recognition in the event program

Enter the names of your guests, if known (10 per table).
Please enter each name on a separate line.

Table 2 Guests (if applicable)

Table 1 Guests

If you do not know the names of all your guests at this time, please provide them to mcarr@uga.edu by March 5, 2010.

You will have the opportunity to review all entries before final submission.