Sponsorship Registration

Thank you for sponsoring the DCHA 2016 Awards Banquet!


This year’s banquet will be held at The Washington Hilton, 1919 Connecticut Avenue NW.  Cocktails at 5:30 pm, Dinner at 7:00 pm.  Black tie optional.

Your sponsorship confirmation, payment and registration is appreciated by August 31, 2016. For more information, call (202) 682-1581. To pay by check, click here to download form. For credit card payments:

Your Name

Your Organization

Your Address

Your City, State and Zip

Your Phone

Your Fax

Your Email

Platinum Sponsors: $15,000.00 – Ten guests per table (two tables for Platinum Sponsors)
Chairman's Circle Sponsors: $8,500.00 – Ten guests per table (one table for Chairman Circle Sponsors)
Patron Sponsors: $5,000.00 – Ten guests per table (one table for Patron Sponsors)
Friend: $2,500.00 – Four tickets
Sponsor Level Number of Tables
OR Number of Tickets for Friends Sponsors
Amount Due:
Credit Card: Expires: /
Card Number:

Attendees (include yourself):
Please indicate whether a special meal is required, such as vegetarian or gluten free.
For example, Guest One (veg).
Guest 1:
Guest 2:
Guest 3:
Guest 4:
Guest 5:
Guest 6:
Guest 7:
Guest 8:
Guest 9:
Guest 10:
Guest 11:
Guest 12:
Guest 13:
Guest 14:
Guest 15:
Guest 16:
Guest 17:
Guest 18:
Guest 19:
Guest 20: