Action Sports Medicine Foundation “A Night with the Supercross Stars”
February 3, 2010, 10:34am
Please come join The Action Sports Medicine Foundation crew for a great dinner and a chance to mingle with some of the best Supercross racers in the world at the Second Annual “Night with the Supercross Stars” benefit dinner and silent auction presented by ASMF and The Road 2 Recovery Foundation. This is an opportunity to get to know the host racers on a more personal level – ask a burning question or get a photograph with and autograph from one of these phenomenal athletes. This unique dining experience is hosted by The Action Sports Medicine Foundation, which raises funds and awareness for the on-site sports medicine program that it provides at numerous action sports events nationally throughout the year.
As a guest for the evening you will enjoy a fantastic dining experience with riders to be announced soon, bid on great silent auction items and the chance to win some great gifts that will be raffled off.
Through your participation, you will have the honor and privilege of providing support for all of the athletes and families that are touched by the on-site sports medicine services that ASMF provides free of charge. You will enjoy the prestige and good will associated with raising awareness and funds for the Action Sports Medicine Foundations much needed programs for the future. Please help support the program that supports the Supercross and Motocross athletes of tomorrow.
Registration Agreement for:
Action Sports Medicine Foundation
“A Night with the Supercross Stars”
ASMF and Road 2 Recovery Foundation
Ruth’s Chris Steakhouse Jacksonville, Florida at 6pm
Guest Level of Participation:
Silver level – dinner only:
[ ] Individual: $150
[ ] Table of eight: $1,100
Bronze level – includes for each guest: dinner, ticket to Jacksonville SX and swag bag
[ ] Individual: $250
[ ] Table of eight: $1,800
*Platinum level – includes for each guest: dinner, ticket to Jacksonville SX, private suite access and swag bag
[ ] Individual: $350
[ ] Table of eight: $2,500
*Only eight tickets at this level will be sold
Tickets must be purchased by March 10, 2010.
Total amount enclosed: $
Contact Name: _____________________________________________
Billing Address: _____________________________________________
__________________________________________________________
Email: ____________________________________________________
Phone: __________________________ Fax: _____________________
Signature: _______________________________ Date: _____________
Please mail form & check to:
Action Sports Medicine Foundation
4624 Gerber Court
Jacksonville, FL 32210
or
Contact:
Christine Chmielewski: (904) 899-3366 visitchris@clearwire.net
501c(3) Tax deductible ID # 57-1160023
Night events include: Dinner, Raffles, Silent Auction, Photograph session, Cash Bar
As a guest for the evening you will enjoy a fantastic dining experience with riders to be announced soon, bid on great silent auction items and the chance to win some great gifts that will be raffled off.
Through your participation, you will have the honor and privilege of providing support for all of the athletes and families that are touched by the on-site sports medicine services that ASMF provides free of charge. You will enjoy the prestige and good will associated with raising awareness and funds for the Action Sports Medicine Foundations much needed programs for the future. Please help support the program that supports the Supercross and Motocross athletes of tomorrow.
Registration Agreement for:
Action Sports Medicine Foundation
“A Night with the Supercross Stars”
ASMF and Road 2 Recovery Foundation
Ruth’s Chris Steakhouse Jacksonville, Florida at 6pm
Guest Level of Participation:
Silver level – dinner only:
[ ] Individual: $150
[ ] Table of eight: $1,100
Bronze level – includes for each guest: dinner, ticket to Jacksonville SX and swag bag
[ ] Individual: $250
[ ] Table of eight: $1,800
*Platinum level – includes for each guest: dinner, ticket to Jacksonville SX, private suite access and swag bag
[ ] Individual: $350
[ ] Table of eight: $2,500
*Only eight tickets at this level will be sold
Tickets must be purchased by March 10, 2010.
Total amount enclosed: $
Contact Name: _____________________________________________
Billing Address: _____________________________________________
__________________________________________________________
Email: ____________________________________________________
Phone: __________________________ Fax: _____________________
Signature: _______________________________ Date: _____________
Please mail form & check to:
Action Sports Medicine Foundation
4624 Gerber Court
Jacksonville, FL 32210
or
Contact:
Christine Chmielewski: (904) 899-3366 visitchris@clearwire.net
501c(3) Tax deductible ID # 57-1160023
Night events include: Dinner, Raffles, Silent Auction, Photograph session, Cash Bar
