1. Long Island Insurance Community 17th Annual Gala
The Premier Insurance Industry Event in the Metropolitan Area
Honoring Robert M. Zak, President & CEO Merchants Insurance Group
September 15, 2011
Carlyle on the Green at Bethpage State Park
www.l-i-i-c.org
SPONSORSHIP OPPORTUNITIES
JOURNAL MATERIAL DEADLINE: AUGUST 19, 2011
PLATINUM SPONSOR: $10,000
 Twelve Gala tickets
 Full-page advertisement in Commemorative Journal—back cover and Gold page
 Logo in LI Business News, Insurance Advocate & on LIIC web site with hyperlink
 Company name on all event related printed materials
 Verbal recognition at event
 Recognition in United Way of Long Island Annual Report
GOLD SPONSOR: $7,500
 Ten Gala tickets
 Gold full-page advertisement in Commemorative Journal
 Logo in LI Business News, Insurance Advocate & on LIIC web site with hyperlink
 Company name on all event related printed materials
 Verbal recognition at event
 Recognition in United Way of Long Island Annual Report
SILVER SPONSOR: $5,000
 Six Gala tickets
 Silver full-page advertisement in Commemorative Journal
 Name in LI Business News, Insurance Advocate & on LIIC web site with hyperlink
 Company Name on all event related printed materials
 Recognition in United Way of Long Island Annual Report
BRONZE SPONSOR: $2,500
 Three Gala tickets
 Full-page advertisement in Commemorative Journal
 Name in LI Business News, Insurance Advocate & on LIIC web site with hyperlink
 Company Name on all event related printed materials
 Recognition in United Way of Long Island Annual Report
JOURNAL ADS (Must be received by August 19, 2011)
 Gold Page (7x10) $1,500
 Silver Page (7x10) $1,250
 Full page (7x10) $1,000
 Half Page (7x4) $500
 Quarter Page (3x4) $300
 Business Card or Company Name, address and phone number $200
TICKETS
 Individual Ticket $250
For more information contact Lois Grant, 631-940-3746 or lgrant@unitedwayli.org

2. I’d like to support the Long Island Insurance Community 17th Annual Gala
Journal material deadline August 19, 2011
(Ads not received by August 19, 2011 will default to standard ad selected by LIIC)
SPONSORSHIP JOURNAL
□ Platinum Sponsor $10,000 □ Gold Page $1,500
□ Gold Sponsor $7,500 □ Silver Page $1,250
□ Silver Sponsor $5,000 □ Full Page $1,000
□ Bronze Sponsor $2,500 □ Half Page $500
□ Quarter Page $300
TICKETS □ Business Card $200
□ $250 _______
FOR JOURNAL ADS
Files must be PDF with fonts embedded, Quark Ex-
press 5 files, EPS Files with fonts outlined, JPEG or
Tiff at full size and 300 dpi.
CONTACT INFORMATION
Name ____________________________________________________________________________________
Phone _________________________________Email _____________________________________________
Company__________________________________________________________________________________
Address___________________________________________________________________________________
City __________________________________ State ______ Zip___________________________________
METHOD OF PAYMENT
□ Check enclosed in the amount of $_____________(make check payable to United Way of Long Island with LIIC in
the memo, 819 Grand Blvd., Deer Park, NY 11729, email: lgrant@unitedwayli.org or fax: 631-940-2554)
□ MasterCard □ Visa □ AMEX
Name on Card ________________________________________________________________________________
Credit Card # ________________________________________________________________________________
Exp. Date _______________________ Signature____________________________________________________
EVENT ATTENDEES:
1._____________________________________________ 7. __________________________________________
2. ____________________________________________ 8.__________________________________________
3._____________________________________________ 9.__________________________________________
4._____________________________________________ 10._________________________________________
5._____________________________________________ 11._________________________________________
6._____________________________________________ 12._________________________________________