Ready To Become A Table Sponsor

Contact Name:*

Business Name:

Table Name (How you would like it displayed on table sign and in print):*

Title:

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Website

Please list the website you would like to be hyperlinked when recognized online.

Select Sponsorship*

After Party Sponsor $35,000
VIP Raffle Table Sponsor $25,000
Wish Ambassador Sponsor $20,000
VIP Reception Sponsor $20,000
Platinum Sponsor $15,000
Gold Sponsor $10,000
Wish Table Sponsor $8,000
Table Sponsor $5,000 (Special Pre-Sale rate of $4,500 if committed before December 31st)
Individual Ticket $500

Method Of Payment*

Payment instructions will be emailed to you based on your choice above. (Payment due prior to event)

Special requests or comments

Name

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