Hear the Music
Tuesday, March 1, 2011
The Musical Instrument Museum
4725 East Mayo Boulevard
Phoenix, AZ 85050

Your Name (required)

Company

Address

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I/we wish to purchase:

Sponsorships:
 Rock Star Title Sponsor ($10,000)
 Big Band Sponsor ($5,000)
 Classical Sponsor ($2,500)
 Hip Hop Sponsor ($1,500)

Tickets:
 Table for ten at $1,000
 Ticket(s) at $100 each - How many tickets?
 Member ticket(s) at $75 each - How many tickets?
Table Host Name

Contributions:
 I/we wish to contribute $ to allow ATSU students and faculty members to attend the event.
 Sorry, I/we are unable to attend but wish to support ATSU with a $ contribution.

Please charge my credit card a total amount of $

Select Credit Card Type

Personal or Corporate Credit Card?
 Personal  Corporate

Name on Credit Card (required)

Card Number (required)

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CV Number (required)

Table Guests:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

 I/we wish for ATSU to use seats at the table.
How many seats?

 I/we wish for ATSU to fill the table


A confirmation email will be sent to the email address you provided, once your credit card has been processed.