We look forward to seeing you at this year’s Gala. Be sure to save the date! May 4, 2024 Gala Sponsorships Step 1 of 3 33% HiddenNext Steps: Install the Stripe Add-OnTo accept payments on this form you will need to install the Stripe payment add-on. Important: Delete this tip before you publish the form.Sponsorship: Staying Alive Quantity3 tables for 10 (2 drinks per guest) | Podium Recognition | Log Recognition - Event program & PowerPoint - DSABV Website - newsletter and social media | VIP Parking Price: $7,000.00 Quantity Sponsorship: Disco Inferno Quantity2 tables for 10 (2 drinks per guest) | Podium Recognition - Event program & PowerPoint - DSABV Website - newsletter and social media Price: $5,000.00 Quantity Sponsorship: Boogie Shoes Quantity1 table for 10 (1 drink per guest) | Podium Recognition - Event program & PowerPoint - newsletter and social media Price: $3,000.00 Quantity Product Sponsor: Meal QuantityYour generous gift goes directly to sponsoring the meal for the event. Price: $15,000.00 Quantity Product Sponsor: DJ & Lighting QuantityYour generous gift goes directly to sponsoring the DJ and lighting for the event. Price: $3,500.00 Quantity Product Sponsor: Video QuantityYour generous gift goes directly to sponsoring the videography for the night. Price: $3,000.00 Quantity Send a Member to Camp QuantityYour generous gift will sponsor one of our members to go to camp. Price: $500.00 Quantity Sponsor a Social Event QuantityYour generous gift goes directly to sponsoring one of our monthly events such as socials, respite nights, and educational classes. Price: $350.00 Quantity Individual: Table for 10 Quantity Price: $1,000.00 Quantity Individual: Table for 8 Quantity Price: $800.00 Quantity Individual: Single Ticket Quantity Price: $100.00 Quantity Name First Last Email Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Total Credit CardCard Details Cardholder Name
