TriCity Family Services

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for supporting TriCity Family Services and the 2018 Gala with a sponsorship/ad purchase. Please complete your transaction below.

Sponsorships and Ads

Qty

Description

Amount

Total

King Cake Sponsorship

$10,000.00

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Carnival Sponsorship

$7,500.00

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Bacchus Sponsorship

$5,000.00

---

Purple Voodoo Sponsorship

$3,500.00

---

Parade Sponsorship

$2,000.00

---

Royal Sponsorship

$2,000.00

---

Float Sponsorship

$1,500.00

---

Fleur De Lis Sponsorship

$750.00

---

½ Page Ad

$500.00

---

¼ Page Ad

$250.00

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Total: $0.00

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

Additional Notes/Comments:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *