KID'S EVENT TICKET RESERVATIONS:
Please reserve our tickets for attending these
01. Event Auditions:
MAKE SELECTION
No Entry
01 Audition Ticket @ $20
02 Audition Tickets @ $40
03 Audition Tickets @ $60
04 Audition Tickets @ $80
05 Audition Tickets @ $100
06 Audition Tickets @ $120
07 Audition Tickets @ $140
08 Audition Tickets @ $160
09 Audition Tickets @ $180
10 Audition Tickets @ $200
02. Celebrity Red Carpet Walk:
MAKE SELECTION
No Entry
01 Red Carpet Ticket @ $10
02 Red Carpet Tickets @ $20
03 Red Carpet Tickets @ $30
04 Red Carpet Tickets @ $40
05 Red Carpet Tickets @ $50
06 Red Carpet Tickets @ $60
07 Red Carpet Tickets @ $70
08 Red Carpet Tickets @ $80
09 Red Carpet Tickets @ $90
10 Red Carpet Tickets @ $100
03. Opening Reception:
MAKE SELECTION
No Entry
01 Opening Reception Ticket @ $30
02 Opening Reception Tickets @ $60
03 Opening Reception Tickets @ $90
04 Opening Reception Tickets @ $120
05 Opening Reception Tickets @ $150
06 Opening Reception Tickets @ $180
07 Opening Reception Tickets @ $210
08 Opening Reception Tickets @ $240
09 Opening Reception Tickets @ $270
10 Opening Reception Tickets @ $300
04. Celebrity Quest Contest:
MAKE SELECTION
No Entry
01 CQ Contest Ticket @ $30
02 CQ Contest Tickets @ $60
03 CQ Contest Tickets @ $90
04 CQ Contest Tickets @ $120
05 CQ Contest Tickets @ $150
06 CQ Contest Tickets @ $180
07 CQ Contest Tickets @ $210
08 CQ Contest Tickets @ $240
09 CQ Contest Tickets @ $270
10 CQ Contest Tickets @ $300
05. Wrap Party:
MAKE SELECTION
No Entry
01 CQ Wrap Party Ticket @ $30
02 CQ Wrap Party Tickets @ $60
03 CQ Wrap Party Tickets @ $90
04 CQ Wrap Party Tickets @ $120
05 CQ Wrap Party Tickets @ $150
06 CQ Wrap Party Tickets @ $180
07 CQ Wrap Party Tickets @ $210
08 CQ Wrap Party Tickets @ $240
09 CQ Wrap Party Tickets @ $270
10 CQ Wrap Party Tickets @ $300
06. Gala "Encore" Performance
MAKE SELECTION
No Entry
01 CQ Gala Dinner Ticket @ $120
02 CQ Gala Dinner Tickets @ $240
03 CQ Gala Dinner Tickets @ $360
04 CQ Gala Dinner Tickets @ $480
05 CQ Gala Dinner Tickets @ $600
06 CQ Gala Dinner Tickets @ $720
07 CQ Gala Dinner Tickets @ $840
08 CQ Gala Dinner Tickets @ $960
09 CQ Gala Dinner Tickets @ $1080
10 CQ Gala Dinner Tickets @ $1200
ADULT'S EVENT TICKET RESERVATIONS:
01. Event Auditions:
MAKE SELECTION
No Entry
01 Audition Ticket @ $20
02 Audition Tickets @ $40
03 Audition Tickets @ $60
04 Audition Tickets @ $80
05 Audition Tickets @ $100
06 Audition Tickets @ $120
07 Audition Tickets @ $140
08 Audition Tickets @ $160
09 Audition Tickets @ $180
10 Audition Tickets @ $200
02. Celebrity Red Carpet Walk:
MAKE SELECTION
No Entry
01 Red Carpet Ticket @ $10
02 Red Carpet Tickets @ $20
03 Red Carpet Tickets @ $30
04 Red Carpet Tickets @ $40
05 Red Carpet Tickets @ $50
06 Red Carpet Tickets @ $60
07 Red Carpet Tickets @ $70
08 Red Carpet Tickets @ $80
09 Red Carpet Tickets @ $90
10 Red Carpet Tickets @ $100
03. Opening Reception:
MAKE SELECTION
No Entry
01 Opening Reception Ticket @ $30
02 Opening Reception Tickets @ $60
03 Opening Reception Tickets @ $90
04 Opening Reception Tickets @ $120
05 Opening Reception Tickets @ $150
06 Opening Reception Tickets @ $180
07 Opening Reception Tickets @ $210
08 Opening Reception Tickets @ $240
09 Opening Reception Tickets @ $270
10 Opening Reception Tickets @ $300
04. Celebrity Quest Contest:
MAKE SELECTION
No Entry
01 CQ Contest Ticket @ $30
02 CQ Contest Tickets @ $60
03 CQ Contest Tickets @ $90
04 CQ Contest Tickets @ $120
05 CQ Contest Tickets @ $150
06 CQ Contest Tickets @ $180
07 CQ Contest Tickets @ $210
08 CQ Contest Tickets @ $240
09 CQ Contest Tickets @ $270
10 CQ Contest Tickets @ $300
05. Wrap Party:
MAKE SELECTION
No Entry
01 CQ Wrap Party Ticket @ $30
02 CQ Wrap Party Tickets @ $60
03 CQ Wrap Party Tickets @ $90
04 CQ Wrap Party Tickets @ $120
05 CQ Wrap Party Tickets @ $150
06 CQ Wrap Party Tickets @ $180
07 CQ Wrap Party Tickets @ $210
08 CQ Wrap Party Tickets @ $240
09 CQ Wrap Party Tickets @ $270
10 CQ Wrap Party Tickets @ $300
06. Gala "Encore" Performance
MAKE SELECTION
No Entry
01 CQ Gala Dinner Ticket @ $120
02 CQ Gala Dinner Tickets @ $240
03 CQ Gala Dinner Tickets @ $360
04 CQ Gala Dinner Tickets @ $480
05 CQ Gala Dinner Tickets @ $600
06 CQ Gala Dinner Tickets @ $720
07 CQ Gala Dinner Tickets @ $840
08 CQ Gala Dinner Tickets @ $960
09 CQ Gala Dinner Tickets @ $1080
10 CQ Gala Dinner Tickets @ $1200
ADDITIONAL WAYS TO SHOW YOUR SUPPORT:
07. Auditions DVD:
MAKE SELECTION
No Entry
1 Auditions DVD @ $20
2 Auditions DVD @ $40
3 Auditions DVD @ $60
4 Auditions DVD @ $80
5 Auditions DVD @ $100
6 Auditions DVD @ $120
7 Auditions DVD @ $140
8 Auditions DVD @ $160
08. CQ Events (#2-#5) DVD:
MAKE SELECTION
No Entry
1 Contest Events DVD @ $35
2 Contest Events DVD @ $70
3 Contest Events DVD @ $105
4 Contest Events DVD @ $140
5 Contest Events DVD @ $175
6 Contest Events DVD @ $210
7 Contest Events DVD @ $245
8 Contest Events DVD @ $280
09. Donation:
MAKE SELECTION
CQ Sponsorship Levels
Title ........ $20,000
Legend .... $15,000
Platinum .. $10,000
Gold ........ $ 7,500
Silver ....... $ 5,000
Bronze ..... $ 2,500
Benefactor $ 1,000
Supporter.. $ 500
Associate... $ 250
Friend ....... $ 100
10. 16 Things "CQ" T-Shirts:
MAKE SELECTION
No Entry
01 Tee-Shirt @ $20
02 Tee-Shirts @ $40
03 Tee-Shirts @ $60
04 Tee-Shirts @ $80
05 Tee-Shirts @ $100
06 Tee-Shirts @ $120
07 Tee-Shirts @ $140
08 Tee-Shirts @ $160
09 Tee-Shirts @ $180
10 Tee-Shirts @ $200
11 Tee-Shirts @ $220
12 Tee-Shirts @ $240
13 Tee-Shirts @ $260
14 Tee-Shirts @ $280
15 Tee-Shirts @ $300
16 Tee-Shirts @ $320
17 Tee-Shirts @ $340
18 Tee-Shirts @ $360
19 Tee-Shirts @ $380
20 Tee-Shirts @ $400
21 Tee-Shirts @ $420
22 Tee-Shirts @ $440
23 Tee-Shirts @ $460
24 Tee-Shirts @ $480
25 Tee-Shirts @ $500
26 Tee-Shirts @ $520
27 Tee-Shirts @ $540
28 Tee-Shirts @ $560
29 Tee-Shirts @ $580
30 Tee-Shirts @ $600
31 Tee-Shirts @ $620
32 Tee-Shirts @ $640
33 Tee-Shirts @ $660
34 Tee-Shirts @ $680
35 Tee-Shirts @ $700
36 Tee-Shirts @ $720
37 Tee-Shirts @ $740
38 Tee-Shirts @ $760
39 Tee-Shirts @ $780
40 Tee-Shirts @ $800
41 Tee-Shirts @ $820
42 Tee-Shirts @ $840
43 Tee-Shirts @ $860
44 Tee-Shirts @ $880
45 Tee-Shirts @ $900
46 Tee-Shirts @ $920
47 Tee-Shirts @ $940
48 Tee-Shirts @ $960
49 Tee-Shirts @ $980
50 Tee-Shirts @ $1000
11. Silent Auction Items:
12. Other:
CONTACT INFORMATION:
*Full Name:
*Address:
Apt/Suite:
*City:
*State/Zip: Zip:
*Telephone #: Ext:
* E-Mail:
Company:
Occupation/Title:
YOUR PRIMARY INTEREST(S):
16Things Newsletter:
MAKE SELECTION
Subscribe
Unsubscribe
BCL Workshops:
MAKE SELECTION
Start
Attend
Subjects of Interest:
MAKE SELECTION
Education
Health & Hygiene
Health & Nutrition
Life Skills
All Of The Above
Volunteering:
MAKE SELECTION
Yes, with BCL Workshops
Yes, with Fundraising Events
Yes, with Grant Applications
Yes, with Organizational Tie-Ins
Yes, with Public Relations
Yes, with getting Sponsors
Yes, with Any of the Above!
Sorry, No Can Do Now
Donating:
MAKE SELECTION
Cash Donation for 16 Things
Facility for BCL Workshops
Facility for Fundraising Events
Services for Fundraising Events
Silent Auction Items
Are there Organizations in your area that might be willing to work with "16 Things Kids Can Do?" on behalf of Children and Parents? Please List:
Organization 1:
Organization 2:
Organization 3:
HELP US, HELP YOU. A SHORT SURVEY:
Gender?
MAKE SELECTION
Male
Female
Marital Status?
MAKE SELECTION
Doesn't Apply, I'm a Kid
Single
Married
Civil Union
Widowed
Divoriced
Number of Children?
MAKE SELECTION
0
1
2
3
4
5
6
7
8
9 or More
Children's Ages?
Adult Ages in Household?
How many families do you know that would be benefit from this program?
MAKE SELECTION
01-09
10-20
21-35
51-75
76-100
151 - Up
101-150
BACK TO BUSINESS:
Special Event Fundraising Sponsorships:
MAKE SELECTION
Sponsorship Levels
Title ........ $20,000
Legend .... $15,000
Platinum .. $10,000
Gold ........ $ 7,500
Silver ....... $ 5,000
Bronze ..... $ 2,500
Benefactor $ 1,000
Supporter.. $ 500
Associate... $ 250
Friend ....... $ 100
Corporate Advertising Information:
MAKE SELECTION
Advertising
Placing Experts
Promotional Give-Aways
All of the Above
Advertising & PR Agency Information:
MAKE SELECTION
Advertising
Branding
Public Relations
All of the Above
We are interested in "16 Things" books for:
MAKE SELECTION
Advertising
Placing Experts
Promotional Give-Aways
All of the Above
For example, our company may be interested in:
(1) # of Experts Placed
EXPERTS
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
09
08
07
06
05
04
03
02
01
(2) # of Adverting Pages
AD PAGES
16
15
14
13
12
11
10
09
08
07
06
05
04
03
02
01
(3) # of Branded Promotional Books
BOOKS
50,000
30,000
25,000
20,000
15,000
12,500
10,000
7,500
5,000
2,500
1,000
500
Other
(4) Add'l Custom Promotions
PROMOTIONS
Board Games
Book Writing
Special Events
Specialty Cards
Other
COMMENTS:
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