Gala
RSVP
FRIDAY EVENING, JANUARY 30, 2015 • ASIAN ART MUSEUM, 200 LARKIN STREET • 6:30 PM - 9:00 PM The San Francisco Medical Society (SFMS) invites you to attend our Annual Gala, celebrating 147 years of physician advocacy and camaraderie! Network with colleagues, meet SFMS leaders, and enjoy a private viewing of the museum’s second floor galleries.
Name: _____________________________________________________________________________________ Address: ___________________________________________________________________________________ City:_______________________________________ State:____________________ Zip: ___________________ Email:______________________________________ Phone:__________________________________________ Number of Individual Tickets @$100/person ($90/person if RSVP by 12/31/2014):___________________ Guest(s) Name(s):__________________________________________________________________________ I would like to sponsor a UCSF medical student/resident ($90) or contribute $________________ Total amount enclosed:____________________________________________________________________ Note: Please make check payable to San Francisco Medical Society or pay by credit card.
PAY M E N T I N F O Card Number:_____________________________________________________________________________ Billing Zip Code:______________Card Holder Name:___________________________________________
RSVP deadline: January 19, 2015
Please RSVP and send payment by January 19, 2015 Purchase tickets online at http://www.sfms.org/Events/annualgala.aspx