Become a Sponsor 2012 Annual Gala Sponsorship Use this form to let us know you are interested in becoming a sponsor of the Annual Gala. We will follow up to explain the benefits of sponsorship and arrange payment. Sponsor Levels* Presenting Sponsor – $20,000 Hope Sponsor – $10,000 Spirit Sponsor – $5,000 Empowerment Sponsor – $2,500 Table Sponsor – $1,250 Contact Information Primary Contact* First Last Company Name Email* Phone* Address* Street Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State Zip Code What is the best time of day to contact you? Morning (8am-12pm) Afternoon (12pm-5pm) Evening (5pm-8pm) Anytime