cliftscrY `PUDDING IITTITUTE OF 1770 Order of the Golden Sphinx Gala Contribution Card and Benefits I, , wish to become: K Guardian of the Sphinx ($50,000) Prime Table at the gala honoring Paris Barclay on April 3rd, 2017 at the Diamond Horseshoe 12 tickets to HPT 169: Casino Evil in Cambridge, New York City, or Bermuda Recognition in our gala program and on our website K Other Amount: K A check payable to the Hasty Pudding Institute of 1770 is enclosed. (mailing address below) K Please bill my: o Amex o Visa o MasterCard Credit Card Number: Expiration Date: Billing Zip Code: Name of Company (Corporate Cards): Date Signature K I want to be acknowledged as in the gala program. Please mail checks to: The Hasty Pudding Institute, 717 Fifth Avenue, Mor Floor, New York NY10022 Or email the contribution card to:[email protected] EFTA00458276