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Registration Form

Package Name	Amount	Quantity	Subtotal
Sponsorship Levels

Platinum Sponsor (10 included)	$25,000.00		$0.00



Gold Sponsor (10 included)	$15,000.00		$0.00



Silver Sponsor (10 included)	$10,000.00		$0.00



Bronze Tables (10 included)	$7,500.00		$0.00



Cocktail Reception Sponsor (10 included)	$12,500.00		$0.00


Individual Tickets
Package Name	Amount	Quantity	Subtotal

Individual Seat	$500.00		$0.00

Total:

$0.00

Discount Code:
(displayed on Confirmation Page)