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50 Anniversary Gala Sponsors

Sponsor Registration Form

"*" indicates required fields

I prefer to fulfill my pledge by the following method:*

via mailed check

via wire transfer

not sure at this time - please email me an invoice

other

I would like to register as a:*

Presenting Sponsor $20,000

Diamond Sponsor $10,000

Emerald Sponsor $5,000

Sapphire Sponsor $2,500

Ruby Sponsor $1,500

Pearl Sponsor $750

Company Name*

Please list how you would like it to appear in promotional materials.

Primary Contact*

Primary Contact Title*

Primary Contact's Phone*

Primary Contact's Email*

We will email this contact to request your updated logo and your guest names, as well as fulfilling any additional sponsorship benefits.

Billing Address*

Street Address City State ZIP Code

Is your mailing address different from your billing address?*

Yes

No

Mailing Address*

Street Address City State ZIP Code

Additional Comments

Please list any additional information here that you would like us to know!

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36 Town Woods Road
Old Lyme, CT 06371
860.434.1974
High Hopes is a 501c3 Organization
Tax ID# 06-0987749

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