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The Magic of Malta Sponsorship Form
Contact Information
Name
*
First Name
Last Name
Organization/Company
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Email
*
Verify Email
*
Phone
*
Sponsor Levels
$10,000
-
Platinum (Includes 10 tickets)
$5,000
-
Gold (Includes 5 tickets)
$2,500
-
Silver (Includes 2 tickets)
$1,000
-
Bronze (Includes 1 ticket)
We wish to purchase additional tickets
Quantity
$100
0
1
2
3
4
5
6
7
8
9
10
10
Recognition Name
Family Name or Company Name as it should be listed in Sponsor Recognition materials
*
Special Notes
Please keep this gift anonymous
Yes
Add 3% to my total amount to help cover the payment processing fees
