SUMMER MEETING SPONSOR FORM

IOGA of NY . 5743 Walden Drive . Lakeview NY 14085
Phone (716) 627.4250 | Fax (716) 627.4375
 
Please read and complete the form carefully before submitting
 
Sponsor: (Company Name as it is to appear on sign)
Name of Contact Person
Address
City/State/Zip
Phone
Email
   
SPONSORSHIP LEVEL $ AMOUNT RANGE AMOUNT
Platinum Level $1,500 or more
Gold Level $1,000 to $1,499
Silver Level $750 to $999
Bronze Level $500 to $749
Cocktail Reception $250 or more
     
  Total
     
     
To Submit your Sponsorship Information and Make Secure Payment Online, click the Continue Button.