Gala Registration Name(Required) First Last Email(Required) Phone(Required)I would like to sponsor at the following level. Be sure to only enter the number of sponsorships in the quantity field, i.e., 1.Platinum Sponsor - two tables (20 seats) Quantity Price: $10,000.00 Quantity Gold Sponsor - One table (10 seats) Quantity Price: $5,000.00 Quantity Silver Sponsor - One table (10 seats) Quantity Price: $2,500.00 Quantity Bronze Sponsor - One table (10 seats) Quantity Price: $1,000.00 Quantity Total List of guests to be seated at your tablePayment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
