Company/Organization: ____________________________________________________

ADDRESS: ______________________________________________________________

CONTACT (Name/Phone): __________________________________________________

is pleased to be a sponsor/participant in the 2009 Volunteer EMS Recognition Dinner at Russo’s on the Bay in Howard Beach, Queens on Tuesday May 12, 2009 at 7:00 PM.

SPONSORSHIP LEVELS:

_______ CHIEF $7,000  - Includes top billing and tickets for a table of ten (10).

_______ ASSISTANT CHIEF $4,000 - Includes tickets for a table of five (5).

_______ DEPUTY CHIEF $3,000 - Includes tickets for three (3).

_______ LIFESAVER $1,500 - Includes two (2) tickets.

_______ SUPPORTER $500 - Includes one (1) ticket.

_______ FRIEND TICKETS @ $175 each.

Tickets can be used for your company/organization or to sponsor a table for a volunteer squad in NYC.
Thank you for your consideration.

Please make checks payable to: NYSVARA, NYC Region.

Print page, complete, enclose check and return to:

NYSVARA NYC Region-Districts 4 & 18
2009 Volunteer EMS Recognition Dinner Committee
PO Box 116
Howard Beach, NY 11414-0116

The Dinner Chairperson is Mr. Martin Grillo, Chief of Emergency Medical Rescue of NYC. He can be contacted at (718) 474-0680. info@emsdinner.com

The New York State Volunteer Ambulance & Rescue Association was established in 1939 and is a 501 [ c] [ 3] organization.
We’re on the web at www.nysvara.org