SPONSOR COMMITMENT FORM
End With Red Gala: Life in Full Bloom | March 8th, 2025
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Sponsor Name (as you would like to be listed)
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Main Contact
*
First Name
Last Name
Title
*
Phone Number
*
Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Information (if different than above)
Contact Name
First Name
Last Name
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsorship Confirmation
Level of Sponsorship
*
$50,000 - Presenting Sponsor
$25,000 - Full Bloom Sponsor
$10,000 - Orchid Sponsor
$5,000 - Lotus Sponsor
$2,500 - Rose Sponsor
In-Kind Donation
In-Kind Donation: Total Estimated Value
In-Kind Donation: Provide a detailed description of the product or service.
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Payment Information
Payment Instructions
Upon submission of the Sponsorship Commitment Form, an invoice will be emailed to the main or billing contact. Make checks payable to: The Afiya Center, 4373 S. Hampton Rd, Dallas, TX 75232. All payments are due in full by February 21, 2025.
Payment Amount
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Payment Method
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Authorized Signature
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Date Signed
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