ATC 2011

Sponsorship Package Orders

<< Return to Sponsorship & Ticket Orders page.

Please register by October 14th, 2011.

Specify the quantity of your order: After making your selections, click anywhere on the page to calculate your total.

Click here to view benefits for each package.

	Platinum - ($50,000)
	Gold - ($25,000)
	Silver - ($10,000)
	Bronze - ($5,000)
	Crystal - ($3,000)
	Individual Dinner Ticket - ($300)

Names of Guests:
First Name		Last Name
First Name		Last Name
First Name		Last Name
Fisrt Name		Last Name
First Name		Last Name
First Name		Last Name
First Name		Last Name
First Name		Last Name
First Name		Last Name
Fisrt Name		Last Name

Please select from among the following menu choices:
Grilled Tenderloin of Beef
Porcini Dusted Halibut
Roasted Portobello Tower
Total amount to be charged: $

To pay by check, please print this form and send to:

A Tribute to Caring
c/o Western University of Health Sciences
309 E. Second St.
Pomona, CA 91766-1854

Please make checks payable to "A Tribute To Caring" Western University of Health Sciences

For more information, please call 909.469.5580 or Fax 909.469.5215

Our non-profit tax ID number is 95-3127273

Tax deductibility as required by IRS regulations:

Platinum $45,000;
Gold $22,000;
Silver $8,500;
Bronze $3,500;
Crystal $2,400;
Individual Dinner $150