HOUSTON SYMPHONY CHILDREN`S FASHION SHOW AND

Susan and Dick Hansen, Chairs Brittany and Travis Cassin, Chairs Courtney and Bill Toomey, Honorary Chairs HOUSTON SYMPHONY CHILDREN’S FASHION SHOW AND LUNCHEON Sunday, March 8, 2015 ⏐ River Oaks Country Club ⏐ 11:30 AM TO 1:30 PM Name _____________________________________________________________________________ (as you wish it to appear in publications) Address __________________________________________________________________________________ City ___________________________ State ___________________ Zip Code ___________________ Email ________________________________________ Phone________________________________  YES, I WOULD LIKE TO PURCHASE: ____ $5,000 Table for Ten ____ $150 Individual Adult Ticket(s) Recognition at the event & Houston Symphony website. Premium reserved table. Free sitting at Gittings per child model. 1 Memory Book per child model. Up to 6 models in the show. One Seat at the event. ____ $75 Individual Child Ticket(s) ____ $2,500 Table for Ten One Seat at the event. Recognition at the event. Prominent reserved table. Free sitting at Gittings per child model. 1 Memory Book per child model. Up to 4 models in the show. ____ $1,500 Table for Ten Fair Market Value is $60 per adult and $40 per child. Children of the table purchasers only are invited to model in the show. Recognition at the event. Reserved table. Free sitting at Gittings per child model. 1 Memory Book per child model. Up to 2 models in the show.  I WOULD LIKE TO SPONSOR ENTERTAINMENT/CRAFT ACTIVITIES WITH A DONATION OF: _____ $500 Activity Donation ______ $1,000 Activity Donation $ _____ Other Activity Donation  I CANNOT ATTEND, BUT I WOULD LIKE TO DONATE $___________ TO SUPPORT THE HOUSTON SYMPHONY’S EDUCATION AND COMMUNITY PROGRAMMING PAYMENT INFORMATION: ____ Kindly invoice me on ____________________________________________________________.(date) ____ My check made payable to the Houston Symphony for $ __________________________ is enclosed. ____ Please charge $__________ to my: ____ AMEX ____VISA ____ MASTERCARD ____ DISCOVER Card Number ____________________________ Expiration Date ______________________ Security Code ______________ Billing Address__________________________________________________________________________________________ Signature _____________________________________________ Date ____________________________________________
Kindly return this form via e-­‐mail [email protected], fax 713-­‐333-­‐9501 or by mail to: Houston Symphony Special Events, 615 Louisiana Street, Suite 102, Houston, TX 77002. For more information, please contact the Houston Symphony Special Events Team at 713-­‐238-­‐1485.