Thank You For Supporting the 2020 Gala! Please Make Your Selection(s) Below

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* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address

Phone Number

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* 2. Are you over 21? (only for ordering wine, skip to next section)

Yes

Please make your selection(s) below:

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* 3. NOTE: The deadline for ordering wine has passed. Please skip to the next section.

White Wine (Santa Julia Torrontes)

Red Wine (Santa Julia Malbec)

Sparkling Wine (Jaume Serra Cristalino)

Non-Alcoholic Cider

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* 4. Being an event sponsor at:

$500 (Individual/Couple Sponsorship, includes a listing in Virtual Gala Program and on a scrolling list of supporters during the event)

$1,000 (Virtual Table Sponsorship, includes everything from previous level plus a private Zoom room for pre-reception gathering)

$5,000 (Bronze Sponsorship, includes recognition from podium, as well as in all pre- and post-event communications, ¼ page ad in booklet, and everything in the previous levels)

$10,000 (Silver Corporate Sponsorship, includes a 1/2 page ad and everything in the Bronze Sponsorship)

$15,000 (Gold Corporate Sponsorship, includes a full page ad and everything in the previous sponsor levels)

$25,000 (Platinum Corporate Sponsorship, includes everything in previous sponsor levels and serves as matching funds which are mentioned throughout the program)

If you are signing up for a sponsorship please don't forget to make a wine selection above!

Payment

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* 5. Credit Card Number

Credit Card Number

Expiration Date (mm/yy)

Credit Card Holder Name

Initials (this serves as your signature)

If you haven't yet, please don't forget to register HERE

You will receive a confirmation email, if you do not see it, please check your spam folder.

To request a copy of your commitment form or if you have any other questions by emailing Charlie Day at cday@samaritanministry.org

Thank you for Investing in Your Neighbor through Samaritan Ministry!

1516 Hamilton St NW, Washington DC 20011 - (202) 722-2280 - www.samaritanministry.org