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THE FILM SOCIETY OF LINCOLN CENTER PRESENTS

To make a reservation, please call 212.875.5685 or email [email protected]. I would like to purchase the following tables

I would like to purchase the following tickets

CO CHAIR TABLE $100,000 $97,500 TAX DEDUCTIBLE VIP Champagne Reception and VIP seating for 10 at the Gala Tribute, VIP table for 10 at the Gala dinner, plus recognition in the official program*

PLATINUM TICKET $5,000 $4,750 TAX DEDUCTIBLE VIP Champagne Reception and seat for one at the Gala Tribute, VIP seat for one at the Gala dinner, plus recognition in the official program

VICE CHAIR TABLE $50,000 $47,500 TAX DEDUCTIBLE VIP Champagne Reception and seating for 10 at the Gala Tribute, VIP table for 10 at the Gala dinner, plus recognition in the official program*

GOLD TICKET $2,500 $2,250 TAX DEDUCTIBLE Champagne Reception and preferred seat for one at the Gala Tribute, seat for one at the Gala dinner, plus recognition in the official program

ONLY T S I L G N WAITI

UT SOLD O

BENEFACTOR TABLE $35,000 $32,500 TAX DEDUCTIBLE Champagne Reception and preferred seating for 10 at the Gala Tribute, table for 10 at the Gala dinner, plus recognition in the official program

SILVER TICKET $1,500 $1,250 TAX DEDUCTIBLE LIMITED AVAILABILITY FILM SOCIETY PATRONS ONLY Champagne Reception and seat for one at the Gala Tribute, seat for one at the Gala dinner, plus recognition in the official program

UT SOLD O

SUPPORTER TABLE $20,000 $17,500 TAX DEDUCTIBLE Champagne Reception and seating for 10 at the Gala Tribute and Gala dinner, plus recognition in the official program

U SOLD O

UT SOLD O

T

I would like to be listed in the program as:

NAME or COMPANY

CONTACT NAME

ADDRESS

CITY

PHONE day

STATE

ZIP

FAX

E-MAIL Please charge my credit card: ____ Visa ____ Mastercard ____ Amex ____ Discover CARD NUMBER

EXP. DATE

SIGNATURE Check enclosed in the amount of $ PAYABLE TO FILM SOCIETY OF LINCOLN CENTER MAIL TO: Chaplin Award Gala, Film Society of Lincoln Center, 165 W. 65th Street, New York, NY 10023 A confirmation letter with instructions will be sent to approximately two weeks prior to the event.