*Your
Full Name
*Address
*City
*State
*Zip
*Phone
(xxx-xxx-xxxx)
*Email
#
of Patron Tickets at $125 each (All patrons will be listed in the
program)
#
of General Tickets at $100 each
Fair market value of dinner is $60
for a total charge of
US$
Program listing Patron tickets
SPONSORSHIPS & ADS
GOLD A-T Partner at $15,000
(including 10 tickets)
SILVER A-T Partner at $10,000
(including 10 tickets)
NATIONAL A-T Partner at $5,000
(including 10 tickets)
A-T Sponsor at $2,500
(including 6
tickets & full page ad)
A-T Friend at $1,000
(including 2
tickets & full page ad)
Full Page Program Ad at $500
Half Page Ad at $250
Quarter Page Ad at $150
Eighth Page Ad at $100
for a total charge of
US$
Personal Message or Special
Recognition or Ad Copy
Click here to email artwork or logos for ads and sponsorships
for the program. Logos must be in .jpg or .tif files at least 300
dpi. Include any questions in your email.
REGRETS!
I cannot attend, but would like to
support your efforts
with this donation:
$
Your ticket purchases and donation
information is sent to the A-TCP
when you click the PAY NOW button.
CLICK ONLY ONCE
to complete your ticket
purchase OR donation.
You will enter the Verisign® secure
website to register
and enter your credit card information on their 'Donation' page
Please be patient; it may take
a few moments.
Do not press the "back" or "refresh" buttons.
