Urology Care Foundation The Official Foundation of the American Urological Association

Urology Care Foundation The Official Foundation of the American Urological Association

http://www.urologyhealth.org/

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What can I do to help?

Thursday, November 15, 2012

Four Seasons Hotel
Boston, MA

Please join us for a celebration of friends and supporters to raise awareness
and funding for prostate cancer research.

Online Event Registration

Donate via mail or phone

Secure On-line Credit Card Donations

Already an AUA Member? Please Click here to login.

Please provide the following information. When you are finished, click SUBMIT to enter your gift information.

* Required Information

Individual Tickets *

  Silver Benefactor  $5,000*  (includes seating for ten and recognition in program book as a Silver Benefactor)
Please list name or organization as you wish it to appear in program book:
  Benefactor  $2,500*  (includes seating for two and recognition in program book as a Benefactor)
Please list name or organization as you wish it to appear in program book:
  Patron  $1,000*  (includes seating for two and recognition in program book as a Patron)
Please list name or organization as you wish it to appear in program book:
  Supporter  $500*  (per ticket)
  Young Professional  $250*  (per ticket)

*$200 is the fair market value per ticket. The amount of your contribution that exceeds the fair market value is tax deductible to the fullest extent allowed by IRS regulations.

For sponsorship please download the sponosor reservation form and fax 410-689-3998 or email Cynthia Duncan.

Sponsorship Levels

$50,000  Major Benefactor 3 Tables
$25,000  Platinum Benefactor 2 Tables
$10,000  Gold Benefactor 1 Table
  1 Table = Seating for 10

Donor Information

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Seating Requests

If you do not wish to submit your guest(s) names at this time, please email to Customer Service by October 29.

Please note tickets and table assignments will not be mailed in advance. All guests will appear on the reservation list at the door with corresponding table assignment.

Guest(s) Names or special seating requests:

Please tell us how you heard about our organization/site:

Referred by:

Thank you for your generous donation to the Urology Care Foundation's Goal Post Gala.

Please confirm the above information is correct and click on the Submit button below.


ABOUT SSL CERTIFICATES

Contributions by check or money order can be sent to

Urology Care Foundation
Attn: Goal Post Gala
1000 Corporate Boulevard
Linthicum, MD 21090

Credit Card Donations by Phone

If you prefer to make a credit card donation by phone, please call our development staff at 1-866-746-4282 extension 4064.

About Your Donation

The Urology Care Foundation is a 501(c)(3) non-profit organization. Our IRS EIN number is 20-3210212. All donations are tax deductible to the full extent of the law.

Certification
    CFC     ICA     Health & Medical Research Charities of America     View our Awards
Urology Care Foundation, Inc.
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© 2014 Urology Care Foundation, Inc. All Rights Reserved.