Dining in the Dark - Sponsorship | United Way of Central Louisiana

Sponsorship Information

Who will be sponsoring this event?

An Individual

A Community Based Organization

A Business

Organization Name

Business Name

Sponsorship Contact Person Name

Sponsorship Contact Person Email

Sponsorship Contact Person Phone

Organization Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Sponsorship Contact Person Name

Sponsorship Contact Person Email

Sponsorship Contact Person Phone

Business' Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Sponsorships

Select your level of sponsorship below.

Presenting Sponsor $5,000

Platinum Sponsor $3,000

Gold Sponsor $1,500

Silver Sponsor $1,000

Bronze Sponsor $500

Seat 1 Information

Name

Email

Phone

Seat 2 Information

Name

Email

Phone

Seat 3 Information

Name

Email

Phone

Seat 4 Information

Name

Email

Phone

Seat 5 Information

Name

Email

Phone

Seat 6 Information

Name

Email

Phone

Seat 7 Information

Name

Email

Phone

Seat 8 Information

Name

Email

Phone

Payment Information