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MACU Online Gala
1
Contribution Form
2
Payment Details
3
Receipt
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= Required
Contact Information
First Name
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Last Name
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Phone Number
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Email Address
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Receipt Information
Please include the name of the company (or person) who will receive the charitable tax receipt.
Full Name or Company
How would you like to be identified in the event program?
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Where shall we send the receipt?
Address
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City
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State
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Zip
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Sponsorship Information
Each sponsorship level will include one table. Tables will seat 8 individuals. Please refer to the invitation or the webpage for more sponsorship information.
Sponsorship Level
Platinum Sponsor ($10,000.00 USD)
Gold Sponsor ($5,000.00 USD)
Silver Sponsor ($3,000.00 USD)
Bronze Sponsor ($2,000.00 USD)
Table Host ($1,200.00 USD)
If you chose to sponsor the event with a level indicated above, please leave this blank.
Individual Seats
($150.00 each)
Seating (Check all the apply.)
I will fill my table.
I will fill part of my table.
Please fill my table.
Please call 2 weeks before the Gala to confirm.
Make a one-time payment.
Contact Information
Nevan Dauderman
405-692-3191
ndauderman@macu.edu
