Sponsor The Gala Giving Levels & Benefits Support Living With Change as a Sponsor! Shine Your Light Sponsorship Agreement "*" indicates required fields Step 1 of 4 25% Support The Gala* YES, I would like to support the 2024 Living With Change Shine Your Light Gala Not this year, but would like to offer a one-time donation of $ SPONSORSHIP LEVELS (All Sponsorships are tax-deductible)SPONSORSHIP LEVELS (All Sponsorships are tax-deductible) Champion: $20,000 Advocate: $10,000 Proponent: $5,000 Supporter: $2,500 SPONSORSHIP LEVELS (All Sponsorships are tax-deductible) Speakeasy: $15,000 Bar: $10,000 Valet: $8000 Gift Card: $2500 ORGANIZATION INFORMATIONName of Organization* Address* Street Address City State 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 ZIP Code CONTACT INFORMATIONName* First Last Title Phone*Email* Please list how you would like to be recognized in printed materials Do you currently plan on using all tickets included in your sponsorship level?* Yes No How many tickets do you plan on using?* Do you or your guests have any special dietary or accessibility needs?* Yes No Please list them here*May we take photos of you and your guests for potential future promotional use?* Yes No PAYMENT METHOD We accept checks payable to Living With Change and credit card paymentsCheck Sending a Check Inovoice Please invoice me in the amount of: Inovoice Please invoice me in the amount of: Invoice Amount Charge Credit Card Please charge my credit card in the amount of: Charge Credit Card Amount Name on card* Card Number* Amount to charge* Expiration Date* Security Code* Please remit payment to: Living With Change, PO Box 43210 Cincinnati, OH 45243 For more information call 859.512.3182 or email [email protected]EmailThis field is for validation purposes and should be left unchanged. Check out past Galas
