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Banquet

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Name*

First Last

Email*

Address*

Street Address Address Line 2 City State ZIP Code

I would like to sponsor (check all that apply)*

Diamond Sponsorship – $10,000

Platinum Sponsorship – $5,000

Gold Sponsorship – $2,500

Silver Sponsorship – $1,000

Bronze Sponsorship – $500

Name/Company name (exactly as it should appear in listings and/or signage)*

Logo Graphic

Accepted file types: jpg, jpeg, png, Max. file size: 75 MB.

Please include your company logo for event marketing.

I am unable to attend, please accept my donation:

Enter a dollar amount.

Alternate forms of donations

I have a gift of stock, bonds, retirement assets, or other tax-deferred plans to contribute. Please contact me for information.

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