Black & Red Pledge Payment - Sponsorships - Department of Philanthropy

Please note that a current pledge must be recorded with the Philanthropy team. If we do not have confirmation of your pledge, your purchase will be refunded. You may also pay your pledge by calling 860.972.2322.

We suggest using Google Chrome to process your transaction.

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Next Steps: Install a Payment Add-On

To accept donations via this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.

Company Name

Contact Name(Required)

First Last

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Enter Email Confirm Email

Cell Phone

Tickets will be sent via text message unless email is preferred.

Sponsorship Level

Premier Sponsor - $100,000 - 18 Guests

Marquee Sponsor - $75,000 - 16 Guests

Leadership Sponsor - $50,000 - 14 Guests

Presenting Sponsor - $35,000 - 10 Guests

Producer Sponsor - $20,000 - 8 Guests

Director Sponsor - $12,500 - 4 Guests

Spotlight Sponsor - $7,500 - 2 Guests

Additional Donation

Total

If available, please provide the names, emails, and cell phone numbers of the guests attending under your sponsorship. When possible, we prefer to send tickets to the primary contact or by couple.

If attendees are unknown at this time, you may leave this box blank and we will follow up at a later date.

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Credit Card

Replace this field with a field specific to your payment gateway whenever possible.

Additional Comments

Logo File

Max. file size: 2 MB.

Logos can also be emailed to Black&Red@hhchealth.org