UC Jazz Ensembles ** 2009 Fall Fundraiser ** Sponsor Response Form

Yes, Name!  I/We would like to become a Sponsor of the 2009 Fall Fundraiser at this level:

__ Big Band with a gift of $5,000 to UC Jazz Ensembles
            (benefits include 8 tickets and a full page ad – valued at $940 and $4,060 donation)

__ Quintet with a gift of $2,500 to UC Jazz Ensembles
           (benefits include 4 tickets and a half page ad – valued at $470 and $2,030 donation)

__ Quartet with a gift of $1,000 to UC Jazz Ensembles
            (benefits include 2 tickets and a quarter page ad – valued at $210 and $790 donation)

__ Trio with a gift of $500 to UC Jazz Ensembles
            (benefits include 2 tickets and an eighth page ad – valued at $160 and $340 donation)

__ Duo with a gift of $250 to UC Jazz Ensembles
            (benefits include 2 tickets and a program mention – valued at $110 and $140 donation)

__ Soloist with a gift of $125 to UC Jazz Ensembles
             (benefits include 1 ticket and a program mention – valued at $55 so $70 donation)

__ Please reserve ___ (indicate #) tickets for (list your names and those of your guests)
                          _____________________________________________________
                          _____________________________________________________
                         
__ I/We wish to waive the following benefits to make my gift more tax-deductible
              _____________________________________________________
             
__ I/We are unable to be a Sponsor, but want to make a gift of $______ to support UC Jazz.

Name __________________________________________________________________

Address ________________________________________________________________

City, State  Zip ___________________________________________________________

Phone __________________________ Email __________________________________

__ My/Our check for UC Regents – UC Jazz Ensembles is enclosed.
__ Please charge my/our:  __Visa  __ MasterCard  __ AmEx  __ Discover  __ Diner's Club                 Account #_____________________________ Expiration Date ____________
            Signature _____________________________

__ My/my spouse’s employer will match my gift.  The form __ is enclosed         __ will be mailed.        
__ I/We wish to make this gift anonymously.

Mail to:  UC Jazz Ensembles, University of California, Berkeley  72 César E. Chavez Student Center # 4280, Berkeley, CA  94720-4280  (510) 643-2662    FAX (510) 643-9463

All gifts are tax-deductible as prescribed by law.  The tax-deductible amount is your donation less $35 for each dinner, $20 for each general show ticket and $8 for each student show ticket plus the value of the program ad.  Please indicate if you wish to waive any benefits.  The information you provide will be used for University business and will not be released unless required by law.  A portion of all gifts is used to defray the costs of administering the funds.
                                                                                                                        SMD10JFBC