cliftscrY `PUDDING IITTITUTE OF 1770
Order of the Golden Sphinx Gala
Contribution Card and Benefits
I, , wish to become:
❑ Guardian of the Sphinx ($50,000)
Prime Table at the gala honoring Paris Barclay on April 3rd, 2017 at the Diamond Horseshoe
12 tickets to HPT 169: Casino Evil in Cambridge, New York City, or Bermuda
Recognition in our gala program and on our website
❑ Other Amount:
❑ A check payable to the Hasty Pudding Institute of 1770 is enclosed. (mailing address below)
❑ Please bill my:
o Amex
o Visa
o MasterCard
Credit Card Number:
Expiration Date:
Billing Zip Code:
Name of Company (Corporate Cards):
Date Signature
❑ I want to be acknowledged as
in the gala program.
Please mail checks to: The Hasty Pudding Institute, 717 Fifth Avenue, Mor Floor, New York NY10022
Or email the contribution card to:ifitzpatrick@hastypudding.org
EFTA00591576