Dining in the Dark

Registration Information
Registration (non-refundable) * Required
- Individual Seats
- Event Sponsorship
- I cannot attend this year, but would like to donate
Number of Tickets * Required
Sponsorship Level * Required
- Visionary Sponsor – $10,000.00 (Event Underwriter)
  Inclusive of two tables of 10 seats, your banner displayed at the event, your materials distributed at the event, your business name prominently listed on event-related materials, a full-page advertisement in the tribute program, recognition on our social media (Facebook, Twitter, LinkedIn and website) and special on-stage recognition at the event.
- Diamond Sponsor – $5,000.00
  Inclusive of one table of 10 seats, your business name prominently listed on event-related materials, and a half-page advertisement in the tribute program.
- Gold Sponsor – $2,500.00
  Inclusive of one table of 10 seats, your business name prominently listed on event-related materials, and a quarter-page advertisement in the tribute program.
- Silver Table Sponsor – $1,250.00
  Inclusive of one table of 10 seats, table recognition, and logo or name recognition in the tribute program.
Donation
Attendees * Required
Please let us know who will be attending and each individual's dinner choice. DINNER OPTIONS: Vegetarian or Duet (includes chicken and beef).
Guest Name Dinner Choice
Attendees (10) * Required
Please let us know who will be sitting at your table and each individual's dinner choice. Add a row for each person. Don't forget to include yourself if attending. DINNER OPTIONS: Vegetarian or Duet (includes chicken and beef).
Guest Name Dinner Choice
Attendees (20) * Required
Please let us know who will be sitting at your table and each individual's dinner choice. Add a row for each person. Don't forget to include yourself if attending. DINNER OPTIONS: Vegetarian or Duet (includes chicken and beef).
Guest Name Dinner Choice
Would you like this to be allocated to a specific program?
Payment Information
Your Name * Required
First Last
Your Email * Required
Enter Email Confirm Email
Company/Recognition Name * Required
Upload Logo
Please upload your company logo for recognition purposes. Send your logo electronically to veronica.chesbrough@lighthouseblv.org by Monday, September 23, 2019 if unable to upload now.
Maximum file size - 2 mega bytes.
Your Address
Street Address Address Line 2 City State ZIP Code
Your Phone
Anonymous Donation
- Please keep my donation anonymous.
Mailing List
- Add me to your mailing list.
Consent * Required
- I consent to having Lighthouse for the Blind & Low Vision collect my personal information, including my name, email, address, phone number and any other information I provide via this form, PayPal and/or email communications. I understand my information will be used to carry out my requests for information or services from Lighthouse for the Blind & Low Vision. I further agree to receive email communications in relation to this request.
Total
$0.00

Guest Name	Dinner Choice

Guest Name	Dinner Choice

Guest Name	Dinner Choice

Registration Information

Payment Information

Event Sponsors