Annual Gala Sponsorship
Name
*
Company Name
Email
*
Phone
Address (same as credit card)
Apt
Number
*
Street
*
City/Town
*
Postal Code
*
Province
*
ONLY 2 letter (e.g: ON for Ontario)
Sponsorship Opportunities
Select Sponsorship
*
Bronze ($250.00 CAD)
Silver ($500.00 CAD)
Gold ($1000.00 CAD)
Platinum ($2000.00 CAD)
Diamond ($4000.00 CAD)
Amount(in CAD):
*
Select Dinner
*
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Select Dinner
*
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Select Dinner
*
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Select Dinner
*
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Select Dinner
*
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Select Dinner
*
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
I prefer to be invoiced.
Credit Card Number
(Only Visa and Mastercard are accepted)
Month
(1) January
(2) February
(3) March
(4) April
(5) May
(6) June
(7) July
(8) August
(9) September
(10) October
(11) November
(12) December
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
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