Sponsorship Commitment Form

Sponsorship Commitment Form
Thank you for choosing to sponsor A Cause for Applause, a benefit for the LGBT Elder Initiative. This event could not have been produced without the generous support of companies and organizations like yours.

Please complete the form below to confirm your sponsorship commitment. If you have any questions, please feel free to call (215) 720-9415 or email applause@lgbtei.org

Please provide information for the primary point of contact at your company/organization:
Name *

First Name Last Name
Company *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
My company/organization wishes to be recognized at the sponsorship level below:

Submission Deadline for print advertisements is October 29.
Please select one: *

Platinum Sponsor ($15,000) Gold Sponsor ($10,000) Silver Sponsor ($5,000) Bronze Sponsor ($1,500) Community Partner ($750)
Have your ad ready to go? Upload it here:
Upload your organization's logo (hi-res, 300dpi) here:
Need us to design an ad for you? No problem! Simply submit your logo above and then type the text you want in the ad below. Please keep it to 12 words or less.
Enter Ad Copy Here (10-12 words):
SUBMISSION INFORMATION & PAYMENT:
Please select one: *

Check Payable to LGBT Elder Initiative Payment via PayPal
Send checks to:

LGBT Elder Initiative
1315 Spruce St.
Philadelphia, PA 19107
ONLY select your sponsorship level below if paying by PayPal:
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Platinum Sponsor $ 15,000.00

Gold Sponsor $ 10,000.00

Silver Sponsor $ 5,000.00

Bronze Sponsor $ 1,500.00

Community Partner $ 750.00
Thank you for your generous support!
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