wildcatters` ball - Independent Petroleum Association of America

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I N D E P E N D E N T
P E T R O L E U M
A S S O C I A T I O N
O F
A M E R I C A
TWO THOUSAND FIFTEEN
PLEASE JOIN US FOR TH E NINETEENTH ANNUAL BALL
HILTON AMER IC AS ~ H OUS TON, TEX AS
with special guest
THE HONORABLE JOHN BARRASSO
United States Senator from Wyoming
TIC K ET & SP ONS OR S H I P I NF OR M ATI ON
Contact Sandy Cazemier at Events Plus
713.686.4845 ~ Sandy@TheEventsPlus.com
Benefiting the Independent Petroleum Association of America Educational Foundation
WWW.IPAA.ORG
E A RLY REGISTRATION FORM
List my Company Sponsorship on all printed materials as:
Contact Name:
Mailing Address:
City, State, Zip Code:
Telephone Number:
Fax Number:
Email Address:
(
) $25,000
Table(s)
(
· Preferred table placement for 12 guests
· Prominent listing as a Premier Underwriter on
invitation, program, signage promoting the Ball
· Listing in the ad promoting the Ball as a
Premier Underwriter
· 12 invitations to a private reception with special guests
(
) $10,000
) $5,000
Table(s)
· prominent table placement for 10 guests
· listing as a Major Sponsor on invitation & program
· 2 invitations to a private reception with special guests
(
) $1,000
Individual Seat(s)
(
) $500
Individual Seat(s)
(
) Check payable to the IPAA Educational Foundation is enclosed.
(
) Credit Card (please select card type)
Amex
Table(s)
· reserved table placement for 10 guests
· listing as a Sponsor on invitation & program
· 2 invitations to a private reception with
special guests
Visa
Mastercard
Name as it appears on card:
Card Number:
Expiration Date:
Total Amount: $
Signature:
(
) Please bill me for my reservation
(
) I cannot attend the Wildcatters' Ball but wish to make a contribution of $
Please return this form by fax to 202.857.0069, by email to Ltyler@ipaa.org, or by mail to:
IPAA EDUCATIONAL FOUNDATION
WILDCATTERS’ BALL
1201 15TH STREET NW, SUITE 300 · WASHINGTON, D.C. 20005