South Central Region Sponsorship Opportunities

All Sponsorship levels and reservations need to be received no later than Thursday, July 7, 2017.

Are you attending?*
- Yes, I will attend
- No, I am unable to attend
- No, I am unable to attend, however, I am submitting a contribution
Number of guests attending the Event
Sponsorship Level:
Please select which sponsorship you'd like to purchase.
ALUMNI TICKETS:
Price: $75.00 Quantity:
INDIVIDUAL TICKETS:
Price: $130.00 Quantity:
INTERN SCHOLARSHIP:
If separate, or in addition to scholarships offered in sponsorship levels above
STAR SUPPORTERS
- FULL PAGE COLOR-7" X 7" - $1,000
- HALF PAGE COLOR-7" X 3.25" - $500
Name*
First Last
Title
Example: CEO, Director of Philanthropy, etc
Company/Organization
Email*
Phone
Sponsorship Name
Please list your company name as you would like it to appear in print.
GUEST NAMES
Please list the names of your Guests and Intern(s).
Dietary restrictions
Please indicate the total number of vegetarian options needed for your guest(s) and/or please describe any special dietary restrictions.
Payment Type*
- Pay now via credit card
- Please send me an invoice
Tell us how you'd like to purchase your sponsorship. Select "Pay now via credit card" to pay online, or select "Please send me an invoice" to receive an invoice. If you select "Please send me an invoice," one of our staff will be in contact with you shortly regarding your sponsorship.
Total Amount
$0.00
Credit Card
Your credit card will be charged the Total Amount above upon submission of this form.

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
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