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Register for the Seventh Annual Business Council Breakfast

Company Name
Contact
Address
Phone
Email
Please reserve the following individual ticket(s) at $118 per person (Please enter number of tickets)
If you purchased more than ticket, please list who will be joining you:
I'd Like to Make a Donation in Honor Of:
 Cord Meyer LLC
 LIJ Forest Hills Hospital
Donation Amount

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Please Enroll us as a Business Council Sponsor
 Diamond $10,000
 Platinum $5,000
 Gold $3,600
 Silver $2,500
 Bronze $1,800
 Friend $1,200
 Emerging Professional $500

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Please reserve the following Digital Journal Ad:
 Full Page Ad (8.5 x 11) - $500 Includes Two Tickets
 Half Page Ad (8.5 x 5.5)- $360 - Includes One Ticket
 Quarter Page Ad (4.25 x 5.5)- $180
 Business Card Ad (3.5 x 2)- $72

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Total Payment
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