Contact InformationName(Required) First Last Company Name Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Sponsorship OpportunitiesSponsorship Level $10,000 - Guardian Angel (2 Reserved VIP Tables - 20 tickets) $5,000 - Gold (1 Table - 10 Tickets) $2,500 - Silver (5 Tickets) $1,000 - Program, Invitation, Valet, Photographer or Children’s Sponsor (2 Tickets) Name of Attendees for Table 1 - If known Add RemovePlease also include Meal Selection - Filet or Vegetarian meal - NO substitutions the day of the eventName of Attendees for Table 2 - If known Add RemovePlease also include Meal Selection - Filet or Vegetarian meal - NO substitutions the day of the eventProgram Ad OpportunitiesFull Page Ad (5" x 8") Quantity Price: $200.00 Quantity Half Page Ad (5" x 4") Quantity Price: $100.00 Quantity Quarter Page (Business Card Size) Quantity Price: $50.00 Quantity I will cover the processing fee(Required) Yes No Processing Fee Price: $0.00 Total Credit CardCard Details Cardholder Name 64019 South Florida Web AdvisorsGrandma’s Angels Holiday Luncheon Sponsorship & Ads09.21.2021
