Registration for 2026 Health In Hand Gala Sponsorship

Registration for 2026 Health In Hand Gala Sponsorship
Yes, I/we will support the Health In Hand Foundation Gala at the following sponsor level*:
Sponsor Level

$27,000 Diamond Table$16,000 Platinum Table$13,000 Gold + Table$11,000 Gold Table$8,000 Silver + Half Table$6,000 Silver Half Table$4,000 Bronze Trio
* Important Note: Companies who are not members of CHPA are not eligible to purchase a sponsorship.
Please list your (or your organization) in printed materials as:
Name/Organization Name:
Contact (if different from above):
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Tel:
Format: (000) 000-0000.
Attach .EPS and .JPEG Logo Options

Cancelof
Payment Options:

Send me an invoiceWill send a check (please make check payable to CHPA Educational Foundation)Wire transfer (information below)Charge my credit card
Please Return Check To:
Health In Hand Foundation
1625 Eye St. NW, Suite 600
Washington, D.C. 20006
Phone: (202) 429-3518
Wire Transfer Information:
Bank: Wells Fargo Bank, N.A.
Account Type: Checking Account #:
2000020753555
ABA Number: 121000248
International Swift Code: WFBIUS6S
The CHPA Educational Foundation (DBA Health In Hand Foundation) is classified as a not-for-profit organization under Section 501(c)(3) of the Internal Revenue Code. Our Federal Tax ID # is: 20-0689578. Contributions are tax deductible to the extent allowed by law.
My signature indicates I am authorized to make this commitment on behalf of:
Organization Name:
Authorized by Sponsor:
Sponsor Signature:
Date:

MonthDayYear
Date
More information:
Contact Nia Tate at ntate@chpa.org
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