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![]() Regional Leadership Will Stoner, AARP |
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Join eight to nine hundred business, community and government leaders. Consider sponsorship with levels at $2,000, $5,000, $10,000, and $15,000. All sponsorship levels come with a table of ten tickets, banner display and logo display on all materials. Higher sponsorship levels include seats on dais at lunch, video sponsorships, journal ads, etc...

[ ] Visionary ($15,000) [ ] Leader ($10,000) [ ] Gold Sponsor ($5,000) [ ] Sponsor ($2,000) [ ] ___ seats ($125 / person)
Ad size: [ ] Full page color (8” x 10.5”) ($1,000) [ ] Half page color (8” x 5.25”) ($500) [ ] Quarter page color (4” x 5.25”) ($250)
Method of Payment: [ ] Check enclosed [ ] Check sent (faxed replies only) [ ] Pay at the door [ ] Credit Card
Attendee Name(s): ____________________________________________________________________________________________
Affiliation:_____________________________________________________________________________________________________
Address: ____________________________________________________City, State, Zip: ___________________________________
Email: _______________________________________ Phone: ____________________________ Fax: ________________________
Credit Card: [ ] Visa [ ] MasterCard [ ] American Express Name, as it appears on card: ____________________________________
Credit Card Number: __________________________________________________ Expiration Date: ___________________________
To RSVP or for more information please contact 631-261-0242, info@visionlongisland.org or fax 631-754-4452.

Vision Long Island
24 Woodbine Ave., Suite Two
Northport, NY 11768
Phone: 631-261-0242. Fax: 631-754-4452.
Email: info@visionlongisland.org
Website: www.visionlongisland.org
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