Co-Chair Table

Event Desktop Banner 3840 x 1536 PH25 LA Tix

Co-Chair Table

$50,000

10 tickets to the cocktail reception
Prime seating for 10 guests
Color on-screen tribute ad
On-screen & website listing as Co-Chair
Inclusion in press release

First Name

Last Name

Address Line 1

Address Line 2

City

Zip/Postal Code

Country

Email

Mobile Phone

Home Phone

Description

Is the donor a member?

Gift on Behalf of Organization?

If on behalf of organization, who is the donor for charitable tax purposes?

Gift on Behalf of an Individual?

Gift Individual First Name

Gift Individual Last Name