Manor

Education Foundation 8th Annual Gala Circuit of the Americas

Individual Ticket & Pledge of Commitment Form

___ Individual Ticket $100
____ Diamond Sponsor $7,500

____ Platinum Sponsor $3,000

____ Silver Sponsor $750

____ Titanium Sponsor $5,000

____ Gold Sponsor $1,500

____ Other Amount

________________________________________________________________________________________________________________
Sponsor Name
Contact Person
________________________________________________________________________________________________________________
Name as you would like to be listed on printed materials
________________________________________________________________________________________________________________
Address
City, State & Zip
________________________________________________________________________________________________________________
Phone
Email
Signature _______________________________________________________________________________________________________
_____ I cannot attend the gala, please accept my enclosed donation in support of the
Manor Education Foundation
_____ Enclosed please find my check made payable to Manor Education Foundation
_____ Please charge my payment to:

______VISA

______MC

______AMEX

Number__________________________________________ Expiration Date____________

Signature____________________________________________________________________

www.ManorEdFoundation.org