To become a Gala 2017 sponsor, please complete the form below: Member Company Name * Please fill the company name as if should appear on printed materials. Contact Person Name * Contact Person Title * Telephone Number * Fax Number Email Address * Sponsorship Level * - Select -Leadership - $50,000Benefactor-$20,000Patron-$15,000Supporter-$7500 Cancellation Policy: Cancellation with full refund: By 5pm, Monday, November 6 Cancellation minus 15% processing fee: After 5pm, Monday, November 6 Please note: We regret that full refunds will not be possible for sponsor cancellations received after November 6. Leave this field blank CAPTCHA Are you a robot? * Fill in the blank.