Citizens Committee for New York City

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Qty

Description

Amount

Total

BIG APPLE

$25,000.00

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30 tickets
Logo on step and repeat
Prime listing on e-vites and event website
Prime listing in program, signage, and logo on screen at event
Recognition during remarks at event
Customizable branding opportunities

NEW YORKER

$10,000.00

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20 tickets
Premium listing on e-vites and event website
Premium listing in program, signage, and logo on screen at event

GOTHAMITE

$5,000.00

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10 tickets
Prominent listing on e-vites and event website
Prominent listing in program, signage, and logo on screen at event

KNICKERBOCKER

$1,000.00

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4 tickets
Listing on e-vites and event website
Listing in program, signage, and on screen at event

EMPIRE STATER

$500.00

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2 tickets
Listing on e-vites and event website
Listing in program, signage, and on screen at event

NYC CITIZEN

$250.00

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1 ticket
Listing in program

Donation:

I am/We are unable to attend but would like to make a contribution to support Citizens Committee for New York City.

In accordance with IRS requirements, the non-deductible portion of each ticket is $130. The remainder of your contribution is tax-deductible to the extent permitted by law.

Total: $0.00

Name or Organization: *

Please print name(s) or company/organization exactly how you
would like it to be listed in event materials and online.

How Did You Hear About This Event?

I Heard About It From: *

Other:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

My company matches donations.

To find out if your employer matches gifts, click here to search for your company. If your company is eligible, follow the directions, request a matching gift from your employer, and send us the details. Some companies match gifts made by retirees and/or spouses as well.

Company Name:

Mailing Address (if different from billing address)

Name:

Address:

City:

State:

Zip Code:

To purchase tickets by mail, please send a check to:

Citizens Committee for New York City | Attn: Scott Young | 77 Water Street, Suite 202 | New York, NY 10005 | (212) 822-9592

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *