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2nd Annual Stefanie Rose Rieger Memorial Event
Make A Memorial Donation
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2nd Annual Stefanie Rose Rieger Memorial Event

A Boutique & Casino Event to Celebrate the Life of Stefanie and to Benefit the Stefanie Rose Rieger Memorial Fund at VCLC

Saturday, April 30, 2011, 7 - 11 pm
Join us for dinner, dancing, shopping and Vegas-style games at the Carlyle at the Palace, 1600 Round Swamp Road, Plainview, NY. Tickets are $125 each.

To take a sponsorship, purchase tickets or make a donation, please enter the total amount below. Specify if your gift is for a sponsorship, tickets and/or a donation in Step 4. (Example: This gift is in honor of: “2 tickets” or “Rosebud Sponsorship”)

SPONSORSHIP OPPORTUNITIES

"King and Queen of Hearts" $5,000

Includes 8 tickets, recognized as sponsor of a Roulette table, donor name displayed as an event sponsor throughout the event, listing on website, print materials & press releases.

"Diamonds are Forever " $2,500
Includes 6 tickets, recognized as sponsor of a Craps table, the donor displayed as an event sponsor throughout the event, listing on website, print materials & press releases.

"Bouquet of Roses" $1,000
Includes 4 tickets, recognized as sponsor of a Black Jack table, the donor displayed as an event sponsor throughout the event, listing on website, print materials & press releases.

"Shop 'Til You Drop" $500
Includes 2 tickets, recognized as sponsor of Texas Hold’em table, the donor displayed as an event sponsor throughout the event, listing on website, print materials & press releases.

"Rosebud" $250
Includes donor displayed as an event sponsor throughout the event, listing on website, print materials & press releases.

STEP 1: CHOOSE YOUR GIFT AMOUNT


$15

$25

$50

$100

$500

$1000

Other Amount   $.00

STEP 2: PAYMENT INFORMATION
    (required fields are in red)
Credit Card Type
Card Number
Card Code (CVV)  Where is the CVV?
Expiration Date

STEP 3: CONTACT INFORMATION
    (required fields are in red)
First Name
Last Name
Address 1
Address 2
City
State
    (U.S. Residents ONLY)
Postal / Zip Code
Country
E-mail Address
Telephone
Numbers only; no spaces
Phone Extension

  Yes, sign me up for the VCLC eNewsletter.

STEP 4: OCCASION SPECIFICS
This gift is in honor of:

Mail a card on my behalf to the following person:
First Name
Last Name
Address 1
Address 2
City
State
    (U.S. Residents ONLY)
Postal / Zip Code
Country
E-mail Address
Telephone
Please enter security code as showing:

  I prefer my donation to be anonymous.



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