New York State Volunteer Ambulance and Rescue Association
New York City Region, District 4
2016 EMS Week Recognition and Memorial Dinner
SPONSOR ORDER FORM
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.
_______ 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
The Dinner Chairperson is Mr. Martin
Grillo, Chief of Emergency Medical Rescue of NYC. He can be contacted at (718) 474-0680. firstname.lastname@example.org
The New York State Volunteer Ambulance & Rescue Association was established in 1939 and is a 501 [ c] [ 3] organization.
Were on the web at www.nysvara.org