Please choose between the following to donate or register for the Breakfast of Legends on October 22nd, 2009:

Tables Master of the Universe - $50,000 special recognition at event and in all print materials, leadership seating for 20, extra special double-page journal sponsorhip and company logo displayed on page of appreciation

Super Courageous Underwriter - $25,000 VIP seating for 20, extra special full-page journal sponsorship and company logo displayed on page of appreciation

Super Legend - $10,000 priority seating for 10, special full-page journal sponsorship and company logo displayed on page of appreciation

Legend - $5,000 special seating for 10, full-page journal sponsorship

Friend - $3,000 seating for 10, half-page journal sponsorship

Tickets Patron - $500 each

Sponsor - $300 each

Contribution Please fill in amount:

Payment I will pay by CC

I will pay by Check

Contact Info First and Last name: Address: Email: Phone number:

This is a secure site. When submitting your pledge, this information will be sent directly to a Mount Sinai Adolescent Center representative who will get in touch with you directly. For further information call Jaclinn Nudel at (212) 731-5992 or email jaclinn.nudel@mountsinai.org