Anniversary Gala Sponsorship Form

Anniversary Gala Sponsorship Form

Memorial Hospital Foundation is thrilled to host the Anniversary Gala on Friday, April 4th at Lake Hill Winery in Carthage, IL. All funds raised from ticket sales, sponsorships, and auction proceeds will directly support the Memorial Hospital Endowment Fund, as we save for the future of quality local healthcare. We hope you can join us for an unforgettable evening of elegance, philanthropy, and celebration, as we honor a legacy of providing quality local healthcare. Please complete and submit this form if you wish to be an exclusive anniversary gala sponsor. Thank you!
Name of Business or Individual:*
How would you like your name to appear in marketing materials?*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*

First NameLast Name
Contact Phone Number*
Please enter a valid phone number.
Contact Email*
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Sponsorship Levels Include:

GOLD SPONSORSHIP
- $5,000 +
- Includes 1 Premium Table Reservation ($650 Value & Seats 8)
DIAMOND SPONSOR
- $2,500 - $4,999
LEGACY SPONSOR
- $1,000 - $2,499
HERITAGE SPONSOR
- $500 - $999
Sponsors will receive recognition on social media promotion and signage on all event advertising materials.

Auction item sponsorship opportunities also available! Reach out to the Foundation team to be an exclusive auction item sponsor: gwetzel@mhtlc.org or cwildrick@mhtlc.org.
Please select your sponsorship level:

Gold Sponsor ($5,000+)Diamond Sponsor ($2,500-$4,999)Legacy Sponsor ($1,000-$2,499)Heritage Sponsor ($500-$999)
Please specify your donation amount:*

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