2011 Dinner

Thursday, April 14, 2011 Great Hall, Union Station Chicago, Illinois

The Green Cross for Safety medal is presented annually by the National Safety Council to an organization that has distinguished itself by outstanding achievement in workplace and off-the-job safety and community service. 2011 Green Cross for Safety medal presented to

Chris Curtis Chief Executive Officer Schneider Electric North America

“We are pleased to honor Schneider Electric North America with the Green Cross for Safety medal,” said Janet Froetscher, president and CEO of the National Safety Council. “Safety, health, environment and community are the pillars of the Schneider Electric business strategy. The Green Cross for Safety medal recognizes Schneider Electric for extending their safety systems and culture beyond the walls of the organization into the communities in which it operates.”

Become a dinner sponsor today — call (630) 775-2304 or visit greencross.nsc.org

Sponsorship Opportunities
Dinner Host
Y    wo places on the Dais & attendance T
at VIP Reception

Y    wo additional guests at the VIP Reception T Y    osting and/or presentation opportunity H Y    our premier tables of 10 F Y    pecial introduction at dinner S Y    EO photo in souvenir journal C
• Premier color full page ad in souvenir journal • Name, logo listing and ad as Dinner Host in the

dinner souvenir journal; and logo on dinner invitation, dinner signage and in presentation. Name in NSC website and annual report • One-year NSC membership (non-members only)

0,000 $10

Dinner Industry Supporter
Y    wo places on the Dais & T
attendance at VIP Reception

Dinner Safety Leader
Y    ne place on the Dais & O
VIP Reception attendance to VIP Reception

Y    hampagne toast during C

dinner with speaking opportunity Y    wo additional guests at the T VIP Reception Y    wo premier tables of 10 T Y    pecial introduction at dinner S Y    EO photo in souvenir journal C
• Premier color full-page ad in souvenir journal • Name, logo listing and ad as Dinner

Y    wo additional guests at T Y    ne premier table of 10 O Y    pecial introduction at dinner S Y    EO photo in souvenir journal C
• Color full-page ad in souvenir journal • Name, logo listing and ad as Dinner

Industry Supporter in the dinner souvenir journal; and logo on dinner invitation, dinner signage and in presentation. Name in NSC website and annual report • One-year NSC membership (non-members only)

Safety Leader in the dinner souvenir journal; and logo on dinner invitation, dinner signage and in presentation. Name in NSC website and annual report • One-year NSC membership
(non-members only)

$ 75 , 0 0 0

$ 50,0 0 0

Dinner Patron
Y    ne priority table of 10 O Y    EO photo in souvenir C

Sponsorship Opportunities
Video Sponsor $10,000 Sponsorship underwrites the cost of the Green Cross for Safety Award Dinner video Includes recognition signage at the event and on the video General Reception Sponsor $10,000 Sponsorship includes exclusive name and logo recognition on General Reception signage; logo on cocktail napkins at General Reception VIP Reception Sponsor $7,500 Sponsorship includes exclusive name and logo recognition on VIP Reception signage; logo on cocktail napkins at VIP Reception Gift Bag Sponsor $7,500 Sponsorship includes name and logo recognition on the bags presented to guests as they depart the dinner Entertainment Sponsor $5,000 Sponsorship underwrites the cost of entertainment for the evening Includes recognition signage at the event and in the dinner presentation Decoration Sponsor $5,000 Sponsorship provides floral and other decorations for the dinner Includes recognition signage at the event and in the dinner presentation

ADDITIONAl

journal

Y    olor full-page ad in C

souvenir journal

• Name, logo listing and ad

as Dinner Patron in the dinner souvenir journal; and logo on dinner invitation, dinner signage and in presentation. Name in NSC website and annual report • One-year NSC membership
(non-members only)

$2 5

,000

Dinner Benefactor
Y    ne table of 10 O Y    olor full-page ad in C

souvenir journal

• Name, logo listing and ad

as Dinner Benefactor in the dinner souvenir journal; and logo on dinner invitation, dinner signage and in presentation. Name in NSC website and annual report • One-year NSC membership
(non-members only)

$ 10 , 0 0 0

Print Ad Opportunities
2011 Congratulatory Ad in Safety+Health magazine March, April or May 2011 issue $7,500 Safety+Health magazine will feature the corporation and CEO who are the recipients of the 2011 Green Cross for Safety Medal This sponsorship includes a full-page color ad congratulating the 2011 honoree Dinner Souvenir Journal Printing Sponsorship $7,500 Sponsor the printing of the souvenir journal This sponsorship includes recognition in the journal, on dinner signage and in the dinner presentation Dinner Souvenir Journal Recognition Ad Souvenir program distributed to all guests at the dinner Color full-page $3,500 $2,500 Black-and-white full-page

Dinner Donor
Y    ne table of 10 O Y    lack-and-white B

full-page ad in souvenir journal
• Name and ad as Dinner Donor

in the dinner souvenir journal; and name on dinner invitation, NSC website, annual report, dinner signage and in presentation

$ 5 ,0 0 0

Schneider Electric North America will receive the 2011 Green Cross for Safety medal in recognition of the organization’s strong safety culture, which is highly visible in all aspects of Schneider Electric work practices. As a global specialist in energy management with operations in more than 100 countries, Schneider Electric offers integrated solutions across multiple market segments, including leadership positions in energy and infrastructure, industrial processes, building automation, and data centers/networks, as well as a broad presence in residential applications.

Congratulations

1121 SPRING LAKE DRIVE ITASCA, IL 60143-3201 (630) 775-2304 - P (630) 775-2310 - F nsc.org

This black-tie event is a celebration of excellence in preventing injuries and saving lives. We look forward to your attendance.

1010

15C 082842A

© 2010 National Safety Council

National Safety Council Green Cross for Safety 2011 Dinner

Sponsorship Selection Form
primary Contact
NaMe/title aDDreSS phoNe authoriZeD SigNature Fax City CoMpaNy State e-Mail Zip

Dinner table Packages

pleaSe CheCk your SeleCtioN:

 Dinner Host .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$100,000 $75,000 $50,000 $25,000 $10,000 $5,000

 Dinner Industry Supporter .  Dinner Safety Leader .  Dinner Patron  Dinner Donor .
Reserve aDDitioNal

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 Dinner Benefactor

the 12th annual Green Cross for Safety Dinner

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 individual Reservation
seat(s)

. . . . . . . . . . . . . . . . . . . . . . . . . . .$500 (each)

honoring

Sponsorship Opportunities
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,000 . . . . . . . . . . . . . . . . . . . . . . . $10,000

 Video Sponsor .

 General Reception Sponsor  VIP Reception Sponsor  Gift Bag Sponsor

. . . . . . . . . . . . . . . . . . . . . . . . . . .

$7,500 $7,500 $5,000 $5,000

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 Entertainment Sponsor .

Thursday, April 14, 2011 great hall, union Station Chicago, illinois

 Decoration Sponsor .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

print ad Opportunities
  011 Congratulatory Ad in Safety +Health magazine, 2 March, april or May 2011 issue . . . . . . . . . . . . . . . . . . .    Dinner Souvenir Journal Printing Sponsorship    Dinner Souvenir Journal Recognition Ad   olor full-page C    Black-and-white full-page    
. . . . .

$7,500 $7,500 $3,500 $2,500

. . . . . . . . . .

(pleaSe CheCk your SeleCtioN )

Form oF Payment:
 CheCk
(payable to NatioNal Safety CouNCil)

 SeND   DiSCover

iNvoiCe

1121 SPRING LAKE DRIVE ITASCA, IL 60143-3201 (630) 775-2304 - P (630) 775-2310 - F nsc.org

 Charge

CreDit CarD

  aMex

  MaSterCarD

  viSa

NaMe oN CarD CarD No SigNature expireS

by signing and returning this document, your company is agreeing to sponsor the 2011 Green Cross for Safety Dinner at the level indicated on this form. in return, your company will receive the benefits that accompany the sponsorship amount. this contribution will allow NSC to address the greatest safety issues that affect americans every day. Payments on all Green Cross for Safety Dinner pledges are due no later than June 1, 2011. all sponsorships above the actual cost of participant deliverables are tax deductible according to iRS regulations. thank you!
(NSC tax exempt No. 36-2167809)

fax today to NSC Development at (630) 775-2310 or e-mail development@nsc.org.
1010 15C 082842D © 2010 National Safety Council

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