Milford/Orange Good Scout Reception

Celebrate 22 years of Providing Quality Scouting Programs at Our...
Milford/Orange Good Scout Reception
Wednesday, June 15, 2016 - at Costa-Azzurra
72 Broadway, Milford
5:30 pm - 7:30 pm
Join us as we honor individuals whose leadership in the community helps to inspire future generations of young people.
Proceeds benefit over 10,700 youth served with leadership development and values-based programs of the Boy Scouts of America, Connecticut Yankee Council.
Good Scout
Good Scout
Jorge Santiago
Pam Staneski
Sr. Vice President
The Milford Bank
State Representative
Milford/Orange
Levels of Support
 $75 Individual Tickets #_______

$1,000 Good Scout
$5,000 Benefactor
10 guests, listing in program.

10 guests, half page ad
in program.
$50 Quarter Page Sponsorship
(3.75” wide x 4.5” high)

$100 Half Page Sponsorship
(7.5” wide x 4.5” high)
$250 Full Page Sponsorship
(7.5” wide x 9” high)
$10,000 Underwriter
50 guests, premium
full page ad in program
_________________________________________________
Name (please print)
_________________________________________________
Title
_________________________________________________
Company/Firm
_________________________________________________
Address
_________________________________________________
1/4 Page
Full Page

$________ Donation
25 guests, full page ad in
program.
$2,500 Eagle Scout
Milford/Orange Good Scout RSVP by June 8, 2015
Or register online at www.ctyankee.org/milford-orange
1/4 Page
City
State
Zip
_________________________________________________
Phone
1/2 Page
_________________________________________________
Email
$_________ Total Due  Check payable to Connecticut Yankee Council
 Please invoice me
Grayscale ads in JPEG or PDF format should be emailed to [email protected]
no later than June 8th for inclusion in the program book.
RSVP by June 8, 2016 to
Connecticut Yankee Council, BSA
PO Box 32, Milford, CT 06460-0032
Staff Contact
Joseph Andreo, Development Director
203-537-7304 cell ~ [email protected]
 My Company will match my gift
___________________________________________________________
Credit Card Number (VISA, MC, AMEX)
Exp Date
CVV code
___________________________________________________________
Name on Card (please print)
___________________________________________________________
Signature
Your support is deductible to the amount allowed by the IRS
www.ctyankee.org/milford-orange
Milford/Orange Good Scout Reception
Wednesday, June 15, 2016 - Costa-Azzurra
72 Broadway, Milford
5:30 pm - 7:30 pm
Provide names of all attendees to Lynda Papallo via fax (203-876-6884) or email
([email protected]) by June 8th. We will be printing name badges for all guests so
please print clearly. Use additional pages as needed.
1. ____________________________________________________________________
First /Last name
Company
2. ____________________________________________________________________
First /Last name
Company
3. ____________________________________________________________________
First /Last name
Company
4. ____________________________________________________________________
First /Last name
Company
5. ____________________________________________________________________
First /Last name
Company
6. ____________________________________________________________________
First /Last name
Company
7. ____________________________________________________________________
First /Last name
Company
8. ____________________________________________________________________
First /Last name
Company
9. ____________________________________________________________________
First /Last name
Company
10. ___________________________________________________________________
First /Last name
Company