Federation of Southern Cooperatives
Land Assistance Fund


   

DINNER RESPONSE FORM

An Invitation to the Federation's 42nd Anniversary Celebration &
Estelle Witherspoon Lifetime Achievement Award Dinner

Thursday • August 13, 2009 • Sheraton Birmingham Hotel • Birmingham, Alabama
Bennie Thompson (D-MS) – Chairperson

All contributors will be recognized in the souvenir dinner program, The Southern Cooperator,
the Federation’s website and 2008-2009 Annual Report

Yes! I agree to serve as a dinner sponsor as indicated below
(click here for the Dinner Response form in a word document):
(click here to donate on-line)

  • 42nd Anniversary Table @ $42,000
    Entitles donor to receive:
    A 42nd Anniversary Table of 10 - 2 priority seats with honoree at dinner -10 tickets to the Honoree Reception with U. S. Representatives Barbara Lee and Bennie Thompson - Photos with the honorees at Honoree Reception
  • Leadership Table @ $25,000 (98% tax-deductible)
    Entitles donor to receive:
    A Leadership table for 10 guests (top priority seating) - 10 tickets to the Honoree Reception with U. S. Representatives Barbara Lee and Bennie Thompson - 10 tickets to the General Reception
  • President's Circle Table @ $10,000 (96% tax-deductible)
    Entitles donor to receive:
    A President's table for 10 guests (top priority seating) • 6 tickets to the Honoree Reception with U. S. Representatives Barbara Lee and Bennie Thompson • 4 tickets to the General Reception
  • Benefactor's Table @ $5,000 (92% tax-deductible)
    Entitles donor to receive:
    A Benefactor's table for 10 guests (top priority seating) - 4 tickets to the Honoree Reception with U. S. Representatives Barbara Lee and Bennie Thompson - 6 tickets to the General Reception
  • Patron's Table @ $2,500 (84% tax-deductible)
    Entitles donor to receive:
    A Patron's table for 10 guests (priority seating) - 2 tickets to the Honoree Reception with U. S. Representatives Barbara Lee and Bennie Thompson - 8 tickets to the General Reception
  • Supporter’s Table @ $1,000 (60% tax-deductible)
    Entitles donor to receive:
    A table for 10 guests  - 10 tickets to the General Reception
  • Friend of the Federation Contributor @ $500 (92% tax-deductible)
    Entitles donor to receive:
    A dinner ticket (priority seating) - 1 ticket to the Honoree Reception with U. S. Representatives Barbara Lee and Bennie Thompson
  • Individual Contributor @ $100(60% tax-deductible)
    Entitles donor to receive:
    1 dinner ticket - 1 ticket to the General Reception

Name: ________________________________________________________________________________                                                                                                                                               

Title:   ________________________________________________________________________________                                                                                                                                              

Company/Organization: ____________________________________________________________________________                                                                                                                    

Address:    ________________________________________________________________________________                                                                                                                                 

City:  _____________________________________     State __________     Zip   ______________________ 
                    

Telephone #:   ____________________________      Fax: ____________________________                                                           

E-mail:  ____________________________           Website:  __________________________________                                                          

Federation of Southern Cooperatives/Land Assistance Fund

2769 Church Street • East Point, Georgia • 30344

Tel:  (404) 765-0991 • Fax:  (404) 765-9178 • www.federation.coop

Donations can also be made on-line

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