Diamond Sponsor ---------------------------------------------------------------$100,000 One table of ten; Platinum seating; Back Cover page of the Tribute Journal	Please call in for Sponsorship
ž Platinum Sponsor -----------------------------------------------------------------$26,000 One table of ten; Platinum seating; two Platinum pages in Tribute Journal	Please call in for Sponsorship
ž Gold Sponsor------------------------------------------------------------------------$18,000 One table of ten; Gold seating; two Gold pages in Tribute Journal	Please call in for Sponsorship
Silver Sponsor------------------------------------------------------------------------$15,000 One table of ten; Silver seating; one Silver page in Tribute Journal	Please call in for Sponsorship
Bronze Sponsor -------------------------------------------------------------------$10,000 One table of ten; Bronze seating; one Bronze page in Tribute Journal

Special Seating:

Platinum Seating-$2,000	Gold Seating-$1,500	Silver Seating-$1,200	Individual Seating-$1,000
Quantities of Seats 1 Seat $2,000.00 2 Seats $4,000.00 3 Seats $6,000.00 4 Seats $8,000.00 5 Seats $10,000.00	Quantities of Seats 1 Seat $1,500.00 2 Seats $3,000.00 3 Seats $4,500.00 4 Seats $6,000.00 5 Seats $7,500.00 6 Seats $9,000.00	Quantities of Seats 1 Seat $1,200.00 2 Seats $2,400.00 3 Seats $3,600.00 4 Seats $4,800.00 5 Seats $6,000.00 6 Seats $7,200.00 7 Seats $8,400.00 8 Seats $9,600.00	Quantities of Seats 1 Seat $1,000.00 2 Seats $2,000.00 3 Seats $3,000.00 4 Seats $4,000.00 5 Seats $5,000.00 6 Seats $6,000.00 7 Seats $7,000.00 8 Seats $8,000.00 9 Seats $9,000.00 10 Seats $10,000.00

I/we are unable to attend the Gala, but would like to make a contribution of

Tribute Journal Only

JOURNAL COPY DEADLINE IS THURSDAY, MAY 5, 2011 

žBack Cover

Platinum Page------------$8,000
Gold Page------------------$5,000
Silver Page-----------------$3,000
Bronze Page---------------$2,000
White Page ----------------$1,000
Half White Page-------------$500

Dr. Baroukh Beroukhim would be honored if you share your memories of him and any related photos in the Tribute Journal.

We encourage you to email your copy to This e-mail address is being protected from spambots. You need JavaScript enabled to view it . or send camera ready art as a high resolution EPS, PDF, TIFF with all fonts outlined.

A full page size:  8.5" X 11"

We will assist you in the preparation of your message.

All logos should be camera ready.

Payment Information:

Name:_________________________________________

Company_______________________________________

Check Enclosed for: $ __________________ payable to Magbit Foundation

Please charge my:  ž VISA     ž MASTERCARD     ž AMERICANEXPRESS

Card Number ______________________________________________

Expiration Date: ___________________  Security Code _____________

Amount to be Charged $ _______ Name on Card: __________________

Billing Address: ________________________________

City:_________________   State: ____________________Zip:_______

Telephone _______________Fax _____________ Email_____________

Authorized Signature: _______________________(must be same as name on card)

Magbit Foundation

433 N. Camden Drive, 4^th Floor,  No. 102

Beverly Hills, CA 90210

Tel: 310-273-2233   Fax: 310-273-6426

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