Sponsorship Package Orders

<< Return to Sponsorship & Ticket Orders page.

View complete details about each sponsorship package on the Sponsorship Opportunities page.

Please register by October 14, 2016.

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

Platinum - ($50,000)
Gold - ($25,000)
Silver - ($10,000)
Bronze - ($5,000)
Crystal - ($3,000)
Individual Dinner Ticket - ($350)

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:

Masala Dusted Beef Tenderloin
Bombay Spiced Sea Bass
Grilled Cauliflower Steak, Chickpeas Tikki Masala

 

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 Mahisha Ketagoda at 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 $45,500;
Gold $22,000;
Silver $8,500;
Bronze $3,500;
Crystal $2,400;
Individual Dinner $175