SPONSORSHIP & DONATION FORM*

We are looking forward to a wonderful celebration with you!

Thank you for sponsoring our Gala Celebration. Please fill out this form and click "submit" below. If you wish to pay by credit card, you will automatically be directed to a payment form.

Sponsorships committed by August 3, 2023, will be listed on the printed invitation and will encourage additional donations – Thank you! All sponsors will be acknowledged on the event web page and at the event.

*If you wish to pay by check, use this form instead to record your pledge and send a check. Thank you!

Contact Information

Primary Contact

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Verify Email

Name(s) as you would like to be recognized at the event

If you wish to remain anonymous for this purpose, please type "Anonymous"

Sponsorship*

Platinum Sponsor / $25,000

In celebration of the scientific excellence and outstanding leadership of Dr. Julia Brody

Admission for 20 to Gala Celebration
A complimentary one-night stay for two on October 12, 2023, at Revere Hotel Boston Common, with free parking.
Platinum section reserved seating in front of theater
Shout-out during program
Full slide during program with personal message
Four bottles of wine placed on the tables in your seating section

Diamond Sponsor / $10,000

Admission for 10 to Gala Celebration
Diamond section reserved seating towards front of theater
Half slide during program with personal message
Complimentary parking
Two bottles of wine placed on the tables in your seating section

Sapphire Sponsor / $5,000

Admission for 8 to Gala Celebration
Quarter slide during program with personal message
Sapphire reserved seating in theater

Ruby Sponsor / $2,500

Admission for 4 to Gala Celebration
Quarter slide during program with your name

Emerald Sponsor / $1,000

Admission for 2 to Gala Celebration
Name in list of sponsors on a slide during program

*Per IRS regulation, if Sponsorship is paid for using a Donor Advised Fund or other family foundation, donors are not permitted to receive any of the tangible benefits listed above. The event will not be ticketed and therefore admission to the event is not considered a tangible benefit.

Sponsorship Amount

Amount

$25,000 - Platinum

$10,000 - Diamond

$5,000 - Sapphire

$2,500 - Ruby

$1,000 - Emerald

Comments/Questions

Please let use know if you have any questions. We'll contact you at the email address provided above.

For inquiries about your donation, please contact Rachel Sarvey at sarvey@silentspring.org or 617-318-5257. For event questions and benefit fulfillment, contact Shari Caplan at caplan@silentspring.org.”

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