Hollywood Park Casino
3883 W. Century Blvd., Inglewood, CA 90303

JASON ALEXANDER, Celebrity Chair
HONORING LEYNA NGUYEN, KCAL/KCBS
May 9th, 2009
1:00pm registration
2:00pm poker begins

Yes, I would like to Purchase Seat(s) at $250.00 per seat.

Please enter the number of seats to purchase:
Enter name(s) of player(s) (use commas between names):

Yes, I would like to purchase Non-player Admission(s) at $75.00 each.

Please enter the number of non-player admissions to purchase:
Enter name(s) of ticket holder(s) (use commas between names):

I cannot attend, but would like to Donate.

Please enter your donation amount: (Example - 10.00)
Enter name of donor:

Yes, I would like to Purchase Table(s) at $2,500.00 each.

Please enter the number of tables to purchase (up to 10 players per table):
Enter name of table owner or names of players (up to 10 names separated by commas):

Yes, I would love to Sponsor this wonderful event (please choose one)
All-In Sponsor $25,000.00
Royal Flush Sponsor $10,000.00
Straight Flush Sponsor $ 5,000.00
Table Sponsor $ 3,000.00

Select Sponsorship Level:
All-In Sponsor $25,000.00 Royal Flush Sponsor $10,000.00 Straight Flush Sponsor $ 5,000.00 Table Sponsor $ 3,000.00
Enter name of sponsor:

I would like to purchase Full Color Program Advertising (includes ad on website)
Full Page Ad $ 500.00
Half-Page Ad $ 250.00
Quarter Page Ad (Business Card) $ 100.00

Select Ad Size:
Full Page Ad $ 500.00 Half-Page Ad $ 250.00 Quarter Page Ad $ 100.00
Enter name of advertiser:

Tax ID# 95-3989251

1736 Family Crisis Center is a private, nonprofit organization working to ensure the safety, survival, and success of domestic violence victims and their children, homeless and runaway youth, and others in need throughout Los Angeles County and beyond.

Throughout its 35-year history, 1736 FCC has expanded its services to include four shelters for domestic violence victims and their children, a shelter for runaway and homeless youth, three Community Service Centers located in Torrance, South Los Angeles and Long Beach, 24 hour hotlines, emergency response services, and more. 1736 Family Crisis Center services reach over 25,000 people each year.