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2026 Peace & Harmony RSVP
Thank you in advance for your support!
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1.
Please enter your full name:
(Required.)
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2.
Please enter your email:
(Required.)
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3.
Would you like to RSVP for individual tickets, become a sponsor, or submit a contribution?
(Required.)
RSVP for Tickets
Become a Sponsor
Make a contribution
4.
If you are choosing to RSVP for individual tickets, how many seats would you like to purchase? ($250 per person)
5.
If interested in becoming a sponsor, please select one of the sponsorship levels below:
Diamond $25,000-
▪ Company logo featured on all communications and events for the year including Peace & Harmony, Annual Conference, the Community Report, and online trainings.
▪ Company logo on event signage.
▪ Featured as co-sponsor for Project Real USA.
▪ Featured as co-sponsor for Annual Conference with access for 10 registrants.
▪ 1 table with 10 seats at Peace & Harmony.
Platinum $15,000-
▪ Company logo featured on all communications and events for the year including Peace & Harmony, Annual Conference, the Community Report and online trainings.
▪ Company logo on event signage.
▪ Featured as co-sponsor for Annual Conference with access for 10 registrants.
▪ 1 table with 10 seats at Peace & Harmony.
Gold $10,000-
▪ Company logo featured on all communications and events for the year including Peace & Harmony, Annual Conference, the Community Report and online trainings.
▪ Company logo on event signage.
▪ 1 table with 10 seats at Peace & Harmony.
Silver $3,500-
▪ Company logo featured on all Peace & Harmony communications and throughout event.
▪ Company logo on event signage.
▪ 1 table with 10 seats at Peace & Harmony.
The Foodie $7,500-
▪ Company logo featured on all Peace & Harmony communications and throughout event.
▪ Underwriting for the evening’s captivating cuisine.
▪ 2 Seats at Peace & Harmony.
Musical Maestro- $3,500
▪ Company logo featured on all Peace & Harmony communications and throughout event
▪ Underwriting for the evening's entertainment.
▪ 2 Seats at Peace & Harmony.
The Next Generation $1,500-
▪ Sponsors seats for 2 graduate students who are active in their communities as Agents of Violence Prevention, at Peace & Harmony.
▪ An additional 2 Seats at Peace & Harmony.
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6.
Please enter the full name, email address & complete address of each guest
(example: 1. John Doe, johndoe@johndoe.com, 123 Main Street, Miami, Fl 33333
2. Jane Doe, janedoe@johndoe.com, 123 Main Street, Miami, Fl 33333)
(Required.)
7.
Please indicate your dinner selection(s) & number of entrées requested:
A. Stuffed Chicken Florentine, Roasted Tomato Coulis and Parmesan Risotto Cake
B. Butternut Squash Lasagna with Bechamel and Crumbled Amaretti
[example: A - 2 entrées / B - 1 entrée]
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8.
What is the amount for this transaction?
(Required.)
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9.
What is your method of payment?
(Required.)
Credit Card (Visa, Mastercard or American Express)
Check made payable to The Melissa Institute, 75 Miracle Mile, P.O. Box 347183, Coral Gables, Fl 33134
10.
What is the name of the card holder?
11.
Please enter the credit card number:
12.
Please enter the expiration date for this card:
Month
Year
13.
Please enter the CVV code on the back of your card:
14.
Please enter the billing address associated with this card:
Street Address
City
State
Zip Code
15.
I would like to cover the 2.9% fee associated with processing my credit card payment.
Agree
Disagree
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16.
By submitting this form I allow The Melissa Institute for Violence Prevention & Treatment to process my credit card for the amount specified above. If paying by check, by submitting this form I agree to send payment for the amount specified above to 75 Miracle Mile, PO Box 347183, Coral Gables Fl 33134.
(Required.)
Agree
17.
Would you like your contribution to be in honor or in memory of someone?
