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Gala 50 Book Submission

Please complete the form below. Required fields marked with an asterisk *

Name*

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Name as it will Appear in the Gala Adbook*

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Email Address*

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Phone Number*

Number Required

Gifting Levels

Answer required for "Gifting Levels"

Golden Ambassador - $50,000 (Two Full Page Ads)

Golden Luminary - $25,000 (Full Page Ad)

Golden Legacy Partner - $10,000 (Full Page Ad)

Golden Jubilee Benefactor - $5,000 (Full Page Ad)

Golden Pioneer - $2,500 (Half Page Ad)

Ad Book Full Page - $1,000

Ad Book Half Page - $500

Message*

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Photo Upload 1

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Photo Upload 2

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Photo Upload 3

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Confirmation Email

Confirmation Email *

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