Purchase Tribute Journal Ad
Donate Items for Auction
This form is for Diamond Sponsors. For any other donations, please use the buttons above.
(Diamond Sponsorship includes 1 full page ad and 1 or 2 tables for dinner in addition to your sponsorship)
Diamond Sponsor Form
Thank you for sponsoring part of Le Cirque!
Name (Individual Donors Only)
Company Name (Businesses Only)
Company Contact Name
Indicates required field
Phone Number (xxx-xxx-xxxx)
Please use the format: 555-555-5555
Diamond sponsorship includes a full page ad in our Tribute Journal.
Please send .jpeg file of your ad to email@example.com, or include text you would like used in your ad here.
Diamond Sponsors also receive a table of up to 10 people at the dinner. Please include your guests' name below as they should appear on the place cards.
Please put your name as Guest 1 in the box below.
After you submit this form, you will be directed to the payment page where you will be able to
indicate which sponsorship you would like.
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