Sponsorship:Tickets Order Form .pdf

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Click Here to View Sponsorship Package Details
Silver
Gold
Bronze
Supporter
Friend
--$7,500
-Package
$10,000
- $1,500
$5,000
- $3,000
(Choose
from Dropdown Menu)

Purchase Tickets

(Members: $100 • Non-Members: $115)

Tickets Per Person

Table of 10 - $1000/$1115

123456789

(Choose Quantity from Dropdown Menu)

(Please send Name, E-Mail, Company, and Title of attendees to Jackie at jridley@hia-li.org)

*Please Note, Sponsorship packages include tickets to the event, see “Sponsorship Package Details” for more information*

Advertising Opportunities
Commemorative Scroll - $250

Half Page Congratulatory Ad - $300

Full Page Congratulatory Ad - $500

Payment Information
Name:

Company:

Title:

Email:

Phone #:

HIA-LI Member:

Yes

Credit Card #:

No

Visa

Mastercard

Card Holder:
Exp. Date:

Billing Zip Code:

Security Code:

We look forward to seeing you there!
Click Here to View Event Flyer
For additional information, contact us at 631-543-5355 or visit us at hia-li.org
Follow us on Social Media!

Amex


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