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P o l i s h - A m e r i c a n M e d i c a l S o c i e t y 6 4 3 8 N C e n t r a l A v e C h i c a g o I L 6 0 6 4 6 T e l : 7 7 3 - 7 7 5 - 7 8 8 3 F a x : 7 7 3 - 7 7 5 7 8 8 5 w w w . z l p c h i c a g o . o r g P A M S o c i e t y C h i c a g o @ g m a i l . c o m P r e s i d e n t K o r n e l i a K r ó l , M D V i c e P r e s i d e n t s E w a R a d w a n s k a , M D , P h d E v a B l o d a , M D , D D S S e c r e t a r y J a g o d a S a m u l a k , D D S E v e l i n a W o r w a g , M D T r e a s u r e r A d a m T . C i o s , M D B o a r d M e m b e r s L u k a s z C h e b e s , M D B e a t a D a n e k , M D J a n u s z D a n k o , D V M K a t a r z y n a K u s z , D D S J ó z e f F . M a z u r e k , M D B a r t o s z W o j e w n i k , M D E x O f f i c i o B r o n i s l a w O r a w i e c , M D M a r e k R u d n i c k i , M D P a s t P r e s i d e n t s A l e x a n d e r R y t e l , M D W a l t e r C e b u l s k i , M D B a r b a r a R o n i k e r , M D J ó z e f F . M a z u r e k , M D M a r e k G a w r y s z , M D A n n a S z p i n d o r , M D B r o n i s l a w J . O r a w i e c , M D J ó z e f F . M a z u r e k , M D Dear Friends, The time of the year when we get ready for one of the most prestigious and elegant balls in Chicago is just around the corner! The 66th Annual Polish-American Medical Society Physicians' Ball will be held on February 6th, 2016 at The Ritz-Carlton Chicago, 160 East Pearson Street. Before we sit down to a delicious dinner, enjoy a great entertainment program, and step onto a spacious dance floor, we need to make sure that the 66th Annual Physicians' Ball of the Polish-American Medical Society (PAMS) turns into yet another great success. Attending the Ball, bringing along friends and business associates, placing a personal greeting or advertisement in our program book, and sponsoring any of the Ball's expenses are all great ways to support the event. All donations are tax deductible (our tax exemption Federal Identification Number is 366-112-686) and all proceeds from the 2015 Ball will be distributed between the educational funds of PAMS and the Paderewski Symphony Orchestra. For your convenience, I have attached our advertising form. If interested, kindly return it to Dr. Kornelia Krol, 6438 N. Central Ave, Chicago, IL 60646, by January 6th, 2016. I truly appreciate your help, support, and engagement in making this year's Ball a very special event for all of us. On behalf of the Board of Directors and the Ball Planning Committee, Kornelia Krol, M.D., FACOG President Polish-American Medical Society

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Page 1: Polish-American Medical Society

Polish-American Medical Society

6438 N Central Ave Chicago IL 60646

Tel: 773-775-7883 Fax: 773-7757885 www.zlpchicago.org [email protected]

President Kornelia Król, MD

Vice Presidents Ewa Radwanska, MD, Phd Eva Bloda, MD, DDS

Secretary Jagoda Samulak, DDS Evelina Worwag, MD

Treasurer Adam T. Cios, MD

Board Members Łukasz Chebes, MD Beata Danek, MD Janusz Danko, DVM Katarzyna Kusz, DDS Józef F. Mazurek, MD Bartosz Wojewnik, MD

Ex Officio Bronisław Orawiec, MD Marek Rudnicki, MD

Past Presidents Alexander Rytel, MD Walter Cebulski, MD Barbara Roniker, MD Józef F. Mazurek, MD Marek Gawrysz, MD Anna Szpindor, MD Bronisław J. Orawiec, MD Józef F. Mazurek, MD

Dear Friends, The time of the year when we get ready for one of the most prestigious and elegant balls in Chicago is just around the corner! The 66th Annual Polish-American Medical Society Physicians' Ball will be held on February 6th, 2016 at The Ritz-Carlton Chicago, 160 East Pearson Street. Before we sit down to a delicious dinner, enjoy a great entertainment program, and step onto a spacious dance floor, we need to make sure that the 66th Annual Physicians' Ball of the Polish-American Medical Society (PAMS) turns into yet another great success. Attending the Ball, bringing along friends and business associates, placing a personal greeting or advertisement in our program book, and sponsoring any of the Ball's expenses are all great ways to support the event. All donations are tax deductible (our tax exemption Federal Identification Number is 366-112-686) and all proceeds from the 2015 Ball will be distributed between the educational funds of PAMS and the Paderewski Symphony Orchestra. For your convenience, I have attached our advertising form. If interested, kindly return it to Dr. Kornelia Krol, 6438 N. Central Ave, Chicago, IL 60646, by January 6th, 2016. I truly appreciate your help, support, and engagement in making this year's Ball a very special event for all of us. On behalf of the Board of Directors and the Ball Planning Committee,

Kornelia Krol, M.D., FACOGPresidentPolish-American Medical Society

Page 2: Polish-American Medical Society

The 66th Annual Polish-American Medical Society Physicians’ BallSponsor Benefit Package

Platinum Sponsor $5,000 (3 spots available)

• Special recognition at the event • Sponsor’s name and logo listed on PAMS’s website • Sponsor’s logo on print and electronic invitations • Sponsor’s name and logo on dedicated Ball eNews • Full page ad the Commemorative Program Book plus additional mention as Sponsor in the List Sponsors page • Featured in all marketing and PR material • Complementary 2 tickets to the Ball • Included in Social Media campaigns over 25,000 followers

Gold Sponsor $3,000 (2 spots available)

• Recognition at the event • Sponsor’s name and logo on print and electronic invitations • Full page ad in the Commemorative Program Book • Featured in marketing and PR material • Included in Social Media campaigns over 25,000 followers Silver Sponsor $1000.00

• Sponsor’s name and logo on electronic invitations • ¼ page ad in the Commemorative Program Book • Featured in marketing and PR material • Included in Social Media campaign over $25,000 followers

Commemorative Program Book Ads

• Full Page $400 (450 after Dec. 31st) • Half Page $225 (250 after Dec.31st) • Quarter Page $150 (175 after Dec. 31st)

Please see our 2015 Book at www.zlpchicago.org under Ball 2015

In-Kind Sponsor

• Silent/Live Auction Items

Individual Tickets $325.00

• Includes 1 reserved seat for dinner • Table of 10 or 12 can be reserved and purchased by Dec. 31st

Page 3: Polish-American Medical Society

Sponsorship Levels

Platinum Sponsor $5,000

Gold Sponsor $3.000

Silver Sponsor $1,000 *Individual Tickets $325

In Kind Sponsor $_____ Value

*Ad In Book Size _____ $ ________

*Purchase online at www.zlpchicago.org/physicians-ball-2016

Instructions

1. Choose your sponsorship level.

2. Return this completed form with a check made out to “Polish American Medical Society”, 6438 N Central Ave Chicago IL 60646 c/o K. Krol MD. 3. Email logo and/or art work to [email protected]

PAMS is 501(c)(3) not-for-profit organization under IRS, Tax Exempt ID #366-112-686. Invoices will be emailed only upon request.

Purchase Contract

Name/Company Name (Print) Authorized Signature:

_____________________________________________________________________________

Address/City: __________________________________________________________________

Telephone: ____________________________________________________________________

Email: ________________________________________________________________________

Total Charges: $________________________________________________________________

Authorized Signature: ___________________________________________________________

Check Enclosed: _______________________________________________________________

Check Number: ________________________________________________________________

Table of 10 or 12