Riverside County Economic Development Agency

State of Riverside County

Luncheon

Thursday, September 30, 2010

11:30 a.m. - 1:00 p.m.

Morongo Casino

49500 Seminole Dr.

Cabazon, CA 92230

Participating Sponsor: $500 per couple

Program Sponsor: $1000 per group of 5

Corporate Sponsor $2000 per group of 10

Title Sponsor $3000 per group of 10

Municipal Sponsor $5000 per group of 10

Premier Sponsor $10,000 per group of 20

   Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations as a Participating Sponsor at $500 per couple

   Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10   reservations as Program Sponsor at $1000 per group of 5

   Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10   reservations as Corporate Sponsor at $2000 per group of 10

   Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10   reservations as Title Sponsor at $3000 per group of 10

   Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10   reservations as Municipal Sponsor at $5000 per group of 10

   Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10   reservations as Premier Sponsor at $10,000 per group of 20

   No, I cannot attend please make accept my donation of

Guest Names:

Name:

Address:

City:

State:

ZIP:

Phone:

FAX:

E-mail:

Employer:

Occupation:

	Please complete the following for Credit Card payments: Card Holder Name: Credit Card Number: Amount Total: Card Type: Visa MasterCard American Express Discover Expiration Date: Security Code:

NOTES:

You may press the send button and it will be automatically emailed to us or print this page and fax back to 951-686-1998

Please make checks payable to:

Riverside County Economic Development Agency

3711 A. Arlington Ave.

Riverside, CA 92506

Donations are Tax Deductible - Fed. ID#95-6000930

Corporate and personal checks accepted