DANCING WITH MISSOURI STARS May 17, 2018 A Benefit Performance for: Missouri Contemporary Ballet Table Reservation Form DWMS Celebrity you will be supporting: Contact Information: Name: Phone: Address: Email: Table Reservations – 8 seats per table With the purchase of a First Tier Table you receive ½ page program ad, and with the purchase of a Second Tier Table you receive a ¼ page program ad. Please provide a JPEG of your ad and logo to Nema Velia [email protected] by April 27, 2018 to ensure your inclusion in the program. Table/Seat Price # of Table(s)/Seat(s) Final Total First Tier Table $1,400.00 Total: Second Tier Table $1,100.00 Total: *Second Tier Seat $137.50 Total: Third Tier Table $800.00 Total: *Third Tier Seat $100.00 Total: *Please be sure to indicate the number of tables/seats you would like to purchase. Sponsorship ____Platinum: $8,000.00 ____Gold: $5,000.00 ____Silver: $2,500.00 Advertising ____Full Page: $200.00 ____½ Page: $125.00 ____¼ Page: $75.00 ____Card: $50.00 *Final Total: ________________ Please make checks payable to Missouri Contemporary Ballet, not DWMS, and mail to: 110 Orr Street, Suite 102 Columbia, MO 65201 Credit card payments processed by contacting: [email protected]