Continuum of Care · A Night of Music and Meaning

Purchaser Details

*

Donation Amount

$500 - toward an apartment security deposit

$250 - toward furniture for a new apartment

$200 - toward a “New Home Basket” with kitchen, bathroom, & cleaning essentials

$150 - toward basic items not covered by medical insurance, like eyeglasses & dentures

$100 - toward utility expenses

$75 - for necessities like clothes, underwear, socks, & groceries

$50 - two Warm Line calls to help save lives

$25 - for bus passes for travel to appointments or a job

$

Sponsorship

*

$10,000 - Presenting Sponsor

$7,500 - Titanium Sponsor

$5,000 - Platinum Sponsor

$2,500 - Gold Sponsor

$1,500 - Silver Sponsor

$1,000 - Table Sponsor

Details about sponsorship levels are at the bottom of this form.

Attendee(s) *	Quantity
$125 - per person

Select Your Meal

*

Beef

Chicken

Vegetarian

Enter information about additional attendees -- including meal choice -- at the end of this form.

Your Contact Information

Name

*

Prefix

First Name

Last Name

Suffix

Organization/Employer

Job Title

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email

*

Verify Email

*

Phone

*

Guest Information

Guest 1

Prefix

First Name

Last Name

Suffix

Guest 1 Email

Verify Email

Guest 1 Phone

Guest 1 Meal

Beef

Chicken

Vegetarian

Guest 2

Prefix

First Name

Last Name

Suffix

Guest 2 Email

Verify Email

Guest 2 Phone

Guest 2 Meal

Beef

Chicken

Vegetarian

Guest 3

Prefix

First Name

Last Name

Suffix

Guest 3 Email

Verify Email

Guest 3 Phone

Guest 3 Meal

Beef

Chicken

Vegetarian

Guest 4

Prefix

First Name

Last Name

Suffix

Guest 4 Email

Verify Email

Guest 4 Phone

Guest 4 Meal

Beef

Chicken

Vegetarian

Guest 5

Prefix

First Name

Last Name

Suffix

Guest 5 Email

Verify Email

Guest 5 Phone

Guest 5 Meal

Beef

Chicken

Vegetarian

Guest 6

Prefix

First Name

Last Name

Suffix

Guest 6 Email

Verify Email

Guest 6 Phone

Guest 6 Meal

Beef

Chicken

Vegetarian

Guest 7

Prefix

First Name

Last Name

Suffix

Guest 7 Email

Verify Email

Guest 7 Phone

Guest 7 Meal

Beef

Chicken

Vegetarian

Guest 8

Prefix

First Name

Last Name

Suffix

Guest 8 Email

Verify Email

Guest 8 Phone

Guest 8 Meal

Beef

Chicken

Vegetarian

Guest 9

Prefix

First Name

Last Name

Suffix

Guest 9 Email

Verify Email

Guest 9 Phone

Guest 9 Meal

Beef

Chicken

Vegetarian

Guest 10

Prefix

First Name

Last Name

Suffix

Guest 10 Email

Verify Email

Guest 10 Phone

Guest 10 Meal

Beef

Chicken

Vegetarian

Guest 11

Prefix

First Name

Last Name

Suffix

Guest 11 Email

Verify Email

Guest 11 Phone

Guest 11 Meal

Beef

Chicken

Vegetarian

Guest 12

Prefix

First Name

Last Name

Suffix

Guest 12 Email

Verify Email

Guest 12 Phone

Guest 12 Meal

Beef

Chicken

Vegetarian

Guest 13

Prefix

First Name

Last Name

Suffix

Guest 13 Email

Verify Email

Guest 13 Phone

Guest 13 Meal

Beef

Chicken

Vegetarian

Guest 14

Prefix

First Name

Last Name

Suffix

Guest 14 Email

Verify Email

Guest 14 Phone

Guest 14 Meal

Beef

Chicken

Vegetarian

Guest 15

Prefix

First Name

Last Name

Suffix

Guest 15 Email

Verify Email

Guest 15 Phone

Guest 15 Meal

Beef

Chicken

Vegetarian

Table Guests & Meals

Please contact Janday at jwilson@continuumct.org or 203.562.2264 x235 with your list of up to 10 table guest names and meal choices (beef, chicken, or vegetarian) by September 10.

Sponsorship Levels & Benefits

Presenting Sponsor: $10,000
– Naming rights for the event and inclusion of logo on all event materials
– Banner displayed at event & option to provide promotional materials or gift for attendees
– Opportunity for sponsor to speak at event & introduce speaker
– Full page ad in program book
– Featured in social media, advertising & press releases for event
– Logo featured on website with hyperlink to your company’s website
– Two tables for 10 people with VIP seating

Titanium Sponsor(s): $7,500
– Option to provide promotional materials or gift for attendees
– Full page ad in program book
– Featured in social media, advertising & press releases for event
– Logo featured on website with hyperlink to your company’s website
– Table for 10 people with VIP seating

Platinum Sponsor(s): $5,000
– Full page ad in program book
– Featured in social media, advertising & press releases for event
– Logo featured on website with hyperlink to your company’s website
– Table for 10 people with VIP seating

Gold Sponsors: $2,500
– 1/2 page ad in program book
– Name listed on press releases
– Logo featured on website
– Table for 10 people

Silver Sponsor: $1,500
– 1/4 page ad in program book
– Name listed on press releases
– Name listed on website
– Table for 10 people

Table Sponsor: $1,000
– Table for 10 people

Additional Comments