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Featuring the Community Health Pinnacle Awards
Rock the Boat 20! Saturday, April 30, 2016 From 6:00 p.m until 11:00 p.m.
Individual ticket purchase(s)
INDIVIDUAL: $150
INDIVIDUAL TICKET --
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____________________________For Gala Ticket, please select the number requested.
Below are different levels of sponsorship:
LEADERSHIP: $50000
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_____________________________ 20 Gala Tickets, full-Page Ad and listing in program book, acknowledgement at event, on MCHC Website, and in video/print media.
CHAMPION: $25000
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_____________________________12 Gala Tickets, full-Page Ad and listing in program book, acknowledgement at event, on MCHC Website, and in video/print media.
BENEFACTOR: $15000
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_____________________________10 Gala Tickets, Half-Page Ad in program book, listing in program book, acknowledgement at event in video/print media.
GRANTOR: $10000
GRANTOR --
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_____________________________10 Gala Tickets, Half-Page Ad in program book, acknowledgement at event and in video/print media.
PATRON: $5000
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_____________________________10 Gala Tickets, Quarter-Page Ad in program book acknowledgement at event and in print media.
SUSTAINER: $2500
SUSTAINER --
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_____________________________6 Gala Tickets, listing in program book, acknowledgement at event and in print media.
ADVOCATE: $1500
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_____________________________4 Gala Tickets, Listing in program book, acknowledgement at event and in print media.
FRIEND: $500
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_____________________________2 Gala Tickets, Listing in program book, acknowledgement at event and in print media.
DONATION: Any Amount
_____________________________If you`re not able to join us, perhaps you would consider making a donation. Thank You!
Sub-Total:
You can have complete confidence in your online transaction as PayPal securely processes your contribution. Thank you.
Handling Charge (3.00%):
Grand Total:
Your contribution to Rock-The-Boat is tax deductible!
Personal Information
*E-Mail:
Valid e-mail is required
Prefix:
Select One
Mr
Ms
Mrs
Dr
*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
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*Zip Code:
*Phone:
Seat Selection/Guest Arrangement/Table Captain Selection
Please seat me with:
Table Captain`s Name:
Guest Name:
Guest Name:
Guest Name:
Guest Name:
Guest Name:
Guest Name:
Guest Name:
Guest Name:
Guest Name:
NOTE: To have logo on invitation, response must be received by March 14th. For Ads, please provide your artwork in PDF or JPEG format and send by email to councils@matchc.org no later than April 14th. Thank you.
All tickets will be held at the door, therefore please list the name(s) of your Guest(s) and table captain if applicable. For further information, please contact Steven Heck, at 617-898-9049.
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