May Gala Sponsor Commitment Form

2025 Racing to Recovery Black & White Gala Sponsor Commitment Form

Please complete the form below to confirm your sponsorship of the 2025 Racing to Recovery Black & White Gala
For questions or additional information, please contact:

Michele Sullivan - Director, Advancement & Impact - (317) 679-3899

Gala@ConquerParalysisNow.org
Contact Name*
Company Name*
Please provide the name as it should appear in marketing materials.
Address*
City*
State*
Zip*
Phone*
Email*
example@example.com
Sponsorship Level Please choose one.
PRESENTING $250,000PLATINUM $100,000TITANIUM $75,000GOLD $50,000SILVER $25,000BRONZE $15,000COPPER $10,000STEEL $5,000BAR SPONSOR $20,000CASINO SPONSOR $18,000VALET SPONSOR $7,500
Signature *

Clear
By signing below, the Sponsor agrees to pay the identified amount to CPN within two (2) weeks of acknowledgement. Failure to submit payment may result in forfeiture of sponsorship benefits, and all payments are non-refundable
To pay by check, please make payable to Conquer Paralysis Now.

Attn: May Gala

1300 East 96th Street, Suite 100, Indianapolis, IN, 46240
Should be Empty:

2025 Racing to Recovery Black & White Gala Sponsor Commitment Form