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The Greenbrier - America's Resort
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White Sulphur Springs, WV
2024 Gala Sponsorship Form
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Presenter's Professional Title
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Quantity of Tickets
0
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Ticketing Options
Sponsor
Sponsorship Type
(Required)
Please choose your Sponsorship Type...
Business and Family
Healthcare
Business and Family Sponsorship Level
(Required)
Please select a level...
Black Diamond ($50,000 – 30 Admissions)
Gold ($25,000 – 20 Admissions)
Silver ($15,000 – 10 Admissions)
Bronze ($10,000 – 10 Admissions)
Crystal ($5,000 – 5 Admissions)
Healthcare Sponsorship Level
(Required)
Please select a level...
Sapphire Sponsor ($15,000 – 10 Admissions)
Emerald Sponsor ($5,000 – 3 Admissions)
Replace placeholder text with confirmed guest names; leave as-is if unconfirmed.
Primary Contact (Guest 1) Last Name
(Required)
Primary Contact (Guest 1) First Name
(Required)
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Employee ID Number
Guest 2 Last Name
Guest 2 First Name
Guest 3 Last Name
Guest 3 First Name
Guest 4 Last Name
Guest 4 First Name
Guest 5 Last Name
Guest 5 First Name
Guest 6 Last Name
Guest 6 First Name
Guest 7 Last Name
Guest 7 First Name
Guest 8 Last Name
Guest 8 First Name
Guest 9 Last Name
Guest 9 First Name
Guest 10 Last Name
Guest 10 First Name
Gala staff will contact you to secure additional guest names.
Sponsor Listing Preference
(Required)
Sponsor, Company or Family Name
Private Sponsorship - no in-room or online acknowledgement
Sponsor, Company or Family Name
(Required)
Email
(Required)
Phone
(Required)
Billing Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Northern Mariana Islands
Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Do you want to make an additional donation?
How many of your allotted tickets do you plan to use for the 6:00 p.m. Friday Reception and Fiesta?
Please select one...
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How many of your allotted tickets do you plan to use on Saturday for the 9:00 a.m. Exhibits Including LUCAS Tour and Coffee/Pastries?
Please select one...
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How many of your allotted tickets do you plan to use on Saturday for the 9:45 a.m. Special Sessions including Coffee with the Commissioner?
Please select one...
TBD
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How many of your allotted tickets do you plan to use on Saturday for the 2:00 p.m. Culinary Demo ft. Chef Aaron Sanchez?
Please select one...
TBD
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How many of your allotted tickets do you plan to use on Saturday for the 3:30 p.m. Fireside Chat with Ari Fleischer?
Please select one...
TBD
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How many of your allotted tickets do you plan to use on Saturday for the 6:30 p.m. Reception and Black-Tie Dinner Dance?
Please select one...
TBD
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Does your guest list vary from Fri. to Sat.? If so, describe here. Also enter here any special seating requests for Fri. and/or Sat. Nights. If none, mark N/A below.
(Required)
Do any dietary restrictions exist for Saturday night? If yes, please add guest name and restriction. If no, please mark N/A below.
(Required)
Your registration includes space for a display Sat. morning 8:30 a.m. to 12:30 p.m. Please indicate whether your exhibit will require any table or space greater than the standard 8 ft. table (covered) and two chairs being provided.
(Required)
Will your exhibit require power?
(Required)
Please select one...
Yes
No
Will your exhibit require an easel for signage?
(Required)
Please select one...
Yes
No
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Fund Number
2V422
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Black Diamond Sponsorship Tax Deductible Total
$42,650
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Gold Sponsorship Tax Deductible Total
$20,100
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Silver Sponsorship Tax Deductible Total
$12,550
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Bronze Sponsorship Tax Deductible Total
$7,550
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Crystal Sponsorship Tax Deductible Total
$3,775
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Sapphire Sponsorship Tax Deductible Total
$12,550
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Emerald Sponsorship Tax Deductible Total
$4,265
Total
Choose a payment method
(Required)
Pay By Card
Pay By Check/Invoice
Registrations will not be considered complete until payment is received. Payment should be remitted no less than two weeks prior to the event, as follows:
Make check payable to WVU Foundation
Memo: Cancer Gala
Mail check to:
WVU Cancer Institute
Office of Philanthropy – HSC 1631
P.O. Box 9300
Morgantown, WV 26506-9300
This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
Credit Card
Card Details
Cardholder Name
Please click submit once. Your registration will be processed in a matter of seconds and a confirmation page will automatically open once complete.
Phone
This field is for validation purposes and should be left unchanged.
Then and Now
