2018 Aish Annual Benefit Sponsorship Form

Company Name (Name of Sponsor) *

Sponsorship Levels (Please check one) *

Diamond Sponsor (2 Tables / 20 Seats) ($10,000)

Platinum Sponsor (1 and 1/2 Tables / 15 Seats) ($7,500)

Gold Sponsor (1 Table / 10 Seats) ($5,000)

Ruby Sponsor (6 Seats) ($3,600)

Silver Sponsor (4 Seats) ($2,500)

Bronze Sponsor (4 Seats) ($1,800)

Copper Sponsor (2 Seats) ($500)

First Name (Main Contact) *

Last Name (Main Contact) *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Short Message for the Adbook: *

Company Website *

Company / Sponsorship Logo