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" indicates required fields
Organization Name
*
Contact Name
*
Email Address
*
Phone
Sponsorship Options
*
Presenting Sponsor - $60,000
Platinum Sponsor - $45,000
Diamond Sponsor - $30,000
Health Hero Sponsor - $25,000
Supporting Sponsor - $20,000
Gold Sponsor - $10,000
Silver Sponsor - $5,000
Beverage Sponsor - $30,000
Dessert Sponsor - $20,000
Silent Auction Sponsor - $5,000
Party Favor Sponsor - $4,000
Table Sponsor - $4,000
Individual Ticket - $500
Please provide name and email address of attendee to be registered for the event.
Please provide name and email address of attendees to be registered for the event. To add registrants, click on the + icon to the right.
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Payment Options
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Send an invoice.
By submitting the form you are authorizing the DC Hospital Association to invoice you for the sponsorship above. Payment must be received before sponsorship benefits begin. For individual and table tickets, invoices must be paid by August 1.
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