2015 Wildcatters Ball Reg Form

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
WH EN
Friday, February 12, 2016
Reception • 7:00 p.m. – 8:00 p.m.
Dinner Service • 8:00 p.m.

WH AT
The 20th Annual Wildcatters’ Ball will continue the tradition of an evening of superb cuisine, opportunities
to renew old friendships and make new acquaintances, and entertainment guaranteed to entice you to the
dance floor. During the very short formal program, the 2016 guest of honor will be introduced. Thanks to
past support of the Wildcatters’ Ball more than $8.5 million has been raised to provide for educational
outreach programs around the country. These public education programs promote a better understanding
of energy issues, highlight the significant contributions of America’s oil and natural gas industry to our
economy and way of life, and serve to educate, encourage, and develop
our nation’s next generation of energy industry leaders.

AT T I R E
Black Tie

WH ER E
Hilton Americas – Houston
1600 Lamar Street • Houston, Texas 77010
Reservation Telephone Number | 713.739.8000

SPE CI A L G U EST
GEN (Ret.) David H. Petraeus
Member & Chairman of the KKR Global Institute

TA BL E PR I CES
$25,000, $10,000, and $5,000
Individual Seats • $1,000 and $500

BEN EF I T I N G
IPAA Educational Foundation, a 501(c)(3) corporation, and its mission to support programs educating
the public about the significant contributions the industry makes to the American economy and society.

T IC K E T & S PO N SO R SH I P I N F O R M AT I O N
Sandy Cazemier, Events Plus
713.686.4845 • Sandy@TheEventsPlus.com
EARLY 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
(
) $5,000
Table(s)
reserved
table
placement
for 10 guests
·
listing
as
a
Sponsor
on
invitation
& program
·
· 2 invitations to a private reception with
special guests
(
) $1,000
Individual Seat(s)
) $500
Individual Seat(s)
(
) $10,000
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
(
) Check payable to the IPAA Educational Foundation is enclosed.
(
) Credit Card (please select card type)
Amex
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 either
FAX: 202.857.0069 EMAIL: Ltyler@ipaa.org
MAIL: IPAA EDUCATIONAL FOUNDATION, WILDCATTERS’ BALL
1201 15TH STREET NW, SUITE 300 • WASHINGTON, D.C. 20005
SUBMIT FORM