New York State Volunteer Ambulance and Rescue Association

New York City Region, District 4

2016 EMS Week Recognition and Memorial Dinner

SPONSOR ORDER FORM

Company/Organization: ____________________________________________________

ADDRESS: ______________________________________________________________

CONTACT (Name/Phone): __________________________________________________

is pleased to be a sponsor/participant in the 2016 Volunteer EMS Recognition and Memorial Dinner at

Russo’s on the Bay in Howard Beach, Queens, on Tuesday, May 3, 2016, at 7:00 PM.
 

SPONSORSHIP LEVELS:

_______ COMMISSIONER $10,000 - Includes top billing and tickets for two tables (twenty) (20).

_______ CHIEF $8,000  - Includes tickets for a table of ten (10).

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

_______ DEPUTY CHIEF $4,000 - Includes tickets for four (4).

_______ LIFESAVER $2,000 - Includes two (2) tickets.

_______ SUPPORTER $1000 - Includes one (1) ticket.

_______ FRIEND TICKETS @ $250 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.

If the above Sponsorships do not meet your needs, please contact the Event Chairperson.

Please make checks payable to: NYSVARA, NYC Region District 4.

Print page, complete, enclose check and return to:

NYSVARA NYC Region District 4
2016 Volunteer EMS Recognition and Memorial 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