Hispanic Heritage Celebration - Sponsorship Registration Form

Sponsorship Registration Form
Primary Contact Name*

First NameLast Name
Primary Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Email*
example@example.com

Sponsor Information
Is sponsor a Company/Organization or an Individual?*

Company/OrganizationIndividual Person
Company/Organization Name*
Business Address*

Street Address

Street Address Line 2

CityState

Zip Code
Different Mailing Address?

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Individual Person Address *

Street Address

Street Address Line 2

CityState

Zip Code
Different Mailing Address?

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Sponsorship Level: *
If other, please enter amount:
Who is Your Representative?
Other:
Please input your representative name.

Ways to Pay
Would You Like to Use a Payment Plan?

YesNo
Great! A representative will reach out to you and discuss your payment plan with you! Please select "Payment Plan" as your payment method in the next question!
Please Select a Payment Method:*
Other:*
Example: You prefer the payment to be picked up.
***DISCLAIMER:

The Levitt Pavilion prefers checks written out. However, multiple forms of payments are accepted.

CREDIT & DEBIT CARDS:

A 2.9% convinience fee will be applied.

Sponsorship Registration Form