2005 SMART GROWTH AWARDS 

Celebrating individuals, organizations and projects advancing Smart Growth on Long Island. 

Friday, June 17th from 11:30 to 2:00

at the Crest Hollow Country Club in Woodbury, NY

Registration Form 

Please reserve a place for me/my organization:

___  Smart Growth Visionary   ($10,000)

___  Smart Growth Sponsorship ($2,000)

___  Smart Growth Leadership ($5,000)

___  Seats ($100 per seat)

Visionary package includes:

 
  • Logo in follow-up materials
  • Engraved plaque honoring your efforts
  • Full page ad in event jourmal
  • Special recognition at the event
  • Banner display
  • Program listing
  • Table for 10
  • Logo in advertisements and program
Leadership package includes:    
  • Listing in follow-up materials
  • Framed certificate
  • Full page ad is event journal
  • Special recognition at the event
  • Banner display
  • Program listing
  • Table for 10
  • Logo in advertisements and program
  Sponsorship package includes:  
  • Banner display
  • Table for 10
  • Program listing
  • Logo in advertisements
Method of payment:  

    ___  Check enclosed    

    ___  Check sent (fax replies only)

 ___  Pay at the door

Attendee Name(s):___________________________________________________________
Firm: _____________________________________________________________________
Address: __________________________________________________________________
Town, State, Zip: ___________________________________________________________
Phone: _______________________________ Fax: ________________________________
Email: ____________________________________________________________________
   

*Credit card option:     ____ Visa

  ____MC ___ AmEx       ___ Disc  
Name as it appears on the card: _________________________________________________
Card Number:  ___________________________   Exp. Date (dd/mm/yy): ______________

Mail or fax registration form to:

Vision Long Island – Creating Smart Growth Communities

24 Woodbine Ave.• Suite One • Northport, NY 11768

Phone:631-261-0242 • Fax:631-754-4452 • Email:info@visionlongisland.org

Vision Long Island is a 501(c)3 not-for-profit corporation