Amherst Drug Court and Therapeutic Foundation

We're Your Team and We're Here To Help You

2015 Fundraiser

Please Support Our 2015 Annual Fundraiser
Thursday, October 8, 2015 - 6:00pm
SEAN PATRICK'S RESTAURANT 3480 Millersport Highway, Getzville, NY 14068
Special Guest & Keynote Speaker Melissa Fitzgerald

Amherst Drug Court VIP Gala

 Sponsor Response Form

Name:_______________________  Company:______________________________________   
Address:______________________ City: _______________________________

State:________ Zip:_________
Phone:___________________   Cell Phone: ____________________

Email:____________________  Fax:______________________

Sponsorship Package:  Please check one

Platinum $5,000___ Gold $2500___ Silver $1000___ Bronze $500___

Patron $250___ Event Supporter $100___

□ Enclosed is my check for payment in full for $__________

□ I will pay for my sponsorship on my credit card – call 716- 694-7867

□ Sorry, I cannot attend…but I would like to support this event,
enclosed is my donation for $ _____________

All major credit cards accepted

Please make checks payable to:    Amherst Drug Court & Therapeutic Foundation

Payments may be mailed to:    
Amherst Drug Court VIP Gala
c/o JRC Promotions
126 Delton Street
Tonawanda, NY 14150

Any questions, please contact JRC Promotions at (716)-694-7867

For pre-registration information call (716) 694-7867, for tickets ($75/person, $125/couple) available at the door.

Donations gratefully accepted:
Amherst Drug Court & Therapeutic Foundation
P.O. Box 764
Getzville, NY 14068