Men's Program
Latinas Y Niños Center
Supportive Housing
Relapse Prevention and Outpatient Services

Events

STEP 1) REGISTRATION FORM
Please make sure to enter your information accurately.

STEP 2) PAYMENT
You will be able to select U.S. Mail or On-line payment (Credit Card or Bank Transfer Via PayPal). You do not need a PayPal account to select this option.

You will be prompted to select an option once the registration form is complete.

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You will receive an e-mail confirmation at this address.

     

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If you are a sponsor or buying a listing in the program book, please indicate how you would like your name or organization to appear:

Individual Name

 

Program/Organization/Institution

 
   

Sponsorship

  NEW LIFE $27,000
   

Celebrating Rick Quiroga's 27 years of devoted service as Founder & Executive Director

   

Listed as Lead Sponsor in the Program Book and all event-related news releases

   

Full-page greeting in Program Book

   

Sponsor Logo displayed prominently on web site, on front cover of Program Book, & quarterly e-newsletter

   

Thanked on PowerPoint shown at all “Action” events

   

20 tickets to the event (two tables)*

   

*2 tickets from each table are donated to Casa Esperanza’s graduates

     
  GRATITUDE $17,000
    Celebrating 17 years of family based care for mothers & children at the Latinas y Niños Center
   

Listed as a Sponsor in the Program Book and all event-related news releases

   

Full-page greeting in the Program Book

   

Sponsor Logo displayed prominently on event web site and in quarterly e-newsletter

   

Thanked on PowerPoint shown at all “Action” events

   

10 tickets to the event (one table)*

   

*2 tickets from each table are donated to Casa Esperanza’s clients

     
  COURAGE $7,000
    Celebrating 7 years of evidence-based Relapse Prevention & Outpatient Services for clients
   

Listed as a Sponsor in the Program Book

   

Full-page greeting in the Program Book

   

Sponsor Logo displayed on event web site

   

Thanked on PowerPoint shown at all “Action” events

   

6 tickets to the event

     
  HOPE $2,700
    Supporting Casa Esperanza in its next 27 years of innovative client-centered treatment
   

Sponsor Logo will be displayed on event website

   

Listed as a Sponsor in the program book

   

Half-page greeting in the Program Book

   

Thanked on PowerPoint shown at all “Action” events

   

2 tickets to the event

     
 

Clear Selection

     

Individual Ticket Sponsor

All Individual Ticket Sponsors will be listed in the program book.

 

No. of tickets

 

I would like to sponsor tickets for community guests who can not afford the ticket price of $125.

     

Program Ads/Personal Messages for Rick

$750 Full page 5”(h) x 8”(w)

$375 Half page 5”(h) x 3.75”(w)

$150 Quarter page (Business Card) 2.5” (h) x 3.75”(w)

  $50 Listing (Name/Organization as indicated)

Clear Selection

 

Copy received after May 10, 2011 will only appear in the Program Insert

     

Attend the Event

I would like to reserve tickets to attend 27 Years of Hope in Action: Honoring the Legacy of Rick Quiroga

 

No. of tickets

 

One Event Ticket includes dinner, program and dancing for $125

No. of tables

 

One Table includes 10 Event Tickets for $1,000

     

Payment

Payment deadline is May 25, 2011

Mail (Check or Money Order)

On-Line (Credit Card or Bank Transfer Via PayPal). You do not need a PayPal account to select this option.
Pay PalCredit Cards

     

Notes/Other Instructions

     

You will be asked to review your selections on the next page before your submission is complete.

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© 2012 Casa Esperanza P.O. Box 191540 Roxbury, MA 02119
Voice/TTY (617) 445-1123 | Fax (617) 445-1126 | E-mail info@casaesperanza.org

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Last Updated 05-Feb-2012