Name:

Email Address:

Street Address:

City:

State:

Zip Code:

Phone:

Number of Tickets Needed:

Do you Want to Sponsor a Table?

(All tables include 8 tickets to the banquet and private pre-reception and mention in the program unless you wish to be kept anonymous)

Additional Benefits (besides partnering with CRM to transform campuses):

• Platinum: All Silver benefits plus all guest recieve copies of "Passion: God of This City" CD with Chris Tomlin, David Crowder, Charlie Hall and others
• Gold: All Silver benefits plus all table guests recieve a copy of the New York Noon Hour Prayer Meeting Book
• Silver: All Bronze benefits plus two additional tickets for your table
• Bronze: Admission to the private reception at the Campus House Of Prayer with CRM board and banquet speakers.