Casino Night – Sponsor Registration Page If you are human, leave this field blank. I/My Organization would like to sponsor the 2016 Casino Night at this level * ------ Event and Entertainment Sponsor - $3000 Food and Beverage Sponsor - $3000 Commemorative Cup Sponsor - $750 Casino Night Sponsor - $500 Each package includes $500 Casino Night sponsor benefits, and is exclusive to the first applying sponsor. All packages include exclusive and prominent logo placement during the packages’ title activity or product distribution and verbal recognition during the event. Number of Additional Tickets ----- One - $50 Two - $100 Three - $150 Four - $200 Five - $350 Six - $300 Seven - $350 Eight - $400 Name (Organization or Family Name) as you wish it to appear on promotional materials * Product/Service Promoted at Event (If Applicable) Street Address * Street Address 2 City * State * Ohio Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone * Designated person to whom all correspondence should be sent * Email * Please attach your company/organization's logo. Drop a file here or click to upload Choose File Maximum upload size: 134.22MB Website (if applicable) Name(s) of Additional Attendee(s) * Total:
