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Name
*
$
Dr.
Dr. and Mrs.
Miss
Mr.
Mrs.
Mr. and Mrs.
Ms.
Title
First Name
Last Name
$
One Time
Recurring
Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Visionary Patron
*
$
$
x $15,000.00
One Time
Recurring
Three Reserved Tables of 10 Inside Front Cover of Ad Journal Special Recognition in all event publicity and program
Legacy Guardian
*
$
$
x $12,500.00
One Time
Recurring
Two Reserved Tables of 10 Inside Facing Front Cover of Ad Journal Special Recognition in all event publicity and program
Innovation Supporter
*
$
$
x $10,000.00
One Time
Recurring
Two Reserved Tables of 10 Inside Back Cover of Ad Journal Special Recognition in all event publicity and program
Cocktail Reception Sponsor
*
$
$
x $7,500.00
One Time
Recurring
Reserved Table of 10 Tribute Page in Commemorative Ad Journal Special Recognition in all event publicity and program
Entertainment Sponsor
*
$
$
x $5,000.00
One Time
Recurring
Reserved Table of 10 Tribute Page in Commemorative Ad Journal Special Recognition in all event publicity and program
Vice Chair
*
$
$
x $3,500.00
One Time
Recurring
Reserved Table of 10 Full Page in Commemorative Ad Journal Special Recognition in all event publicity and program
Priority Page in Ad Journal
*
$
$
x $1,500.00
One Time
Recurring
Full Page in Ad Journal
*
$
$
x $1,000.00
One Time
Recurring
Half Page in Ad Journal
*
$
$
x $500.00
One Time
Recurring