One hundred percent (100%) of the funds received through Patron Contributions benefit local nonprofit organizations through The Charity Ball Association’s rigorous grant application process. Proceeds of the Rotogravure, the Datebook, the Chrysanthemum Ball, and the Prize Tickets are also distributed in the same process. Over $20 million in grants have been awarded to children’s charities in Bexar County since 1954. The total maximum donation that can be made with a credit card payment is $10,000. If you wish to make a larger donation you will be invoiced for the balance. Checks can be made payable to "The Charity Ball Association" and should be sent to P.O. Box 2357, San Antonio, Texas 78298-2357. Make a Patron ContributionPatrons will be recognized in the Rotogravure, the Datebook, the website, materials promoting prize ticket sales and at the Chrysanthemum Ball. Please note that Patron Contributions do NOT include Ball Reservations. For specific questions, please contact PATRONS@CBAOFSA.ORG. Patron Contribution Levels Hope Chrysanthemum Patron: $250,000 and up Diamond Chrysanthemum Patron: $100,000 - $249,999 Golden Chrysanthemum Patron: $50,000 - $99,999 Silver Chrysanthemum Patron: $35,000 - $49,999 Chrysanthemum Patron: $25,000 - $34,999 Distinguished Patron: $15,000 - $24,999 Grand Patron: $10,000 - $14,999 Noble Patron: $5,000 - $9,999 Patron: $1,000 - $4,999 Please begin by selecting your Patron Level - None -Hope Chrysanthemum Patron: $250,000 and upDiamond Chrysanthemum Patron: $100,000 - $249,999Golden Chrysanthemum Patron: $50,000 - $99,999Silver Chrysanthemum Patron: $35,000 - $49,999Chrysanthemum Patron: $25,000 - $34,999Distinguished Patron: $15,000 - $24,999Grand Patron: $10,000 - $14,999Noble Patron: $5,000 - $9,999Patron: $1,000 - $4,999 (Once the Patron Contribution amount entered below is over $1000, please add up all contributions on this form to reflect your Patron Level. If your Patron Contribution is under $1000, contributions cannot be aggregated to reach a Patron level.) Patron Contribution Amount * $ Patron Name for Print * Rotogravure: Feature Your Business in our Beautiful Magazine For specific questions, please contact ROTO@CBAOFSA.ORG. *Please click here to see this publication and for examples of acknowledgment opportunities. It is possible that the Rotogravure Acknowledgment or Underwriting type you want is no longer available. If so you will be contacted to discuss options. Picture Acknowledgment Centerfold $6,000 Double Page Spread $6,000 Back Cover $4,000 Inside Back Cover $3,800 Full Page $3,400 Half Page $1,850 Quarter Page $850 Picture Acknowledgment #1 No Picture AcknowledgmentCenterfold - $6,000Double Page Spread - $6,000Back Cover - $4,000Inside Back Cover - $3,800Full Page - $3,400Half Page - $1,850Quarter Page - $850 Recognition Name for Print/Picture Acknowledgment #1 * Picture Acknowledgment #2 No Picture AcknowledgmentCenterfold - $6,000Double Page Spread - $6,000Back Cover - $4,000Inside Back Cover - $3,800Full Page - $3,400Half Page - $1,850Quarter Page - $850 Recognition Name for Print/Picture Acknowledgment #2 * Charity Ball Member Request Please indicate your preferred Charity Ball member for your picture. Member requests will be filled in the order they are received. You will be contacted regarding the date and place of your photo. The CBA reserves the right to assign members to a photo in accordance with its policies. Member Name Request #1 Member Name Request #2 Member Name Request #3 Line Acknowledgment Dental $250 Foodie Friends $250 Friends of Charities $250 Home and Landscape $250 Investments & Securities $250 Legal $250 Medical $250 Oil & Gas $250 Ranch $250 Real Estate $250 Line Acknowledgment #1 No Line AcknowledgmentDental - $250Foodie Friends - $250Friends of Charities - $250Home and Landscape - $250Investments and Securities - $250Legal - $250Medical - $250Oil and Gas - $250Ranch - $250Real Estate - $250 Recognition Name for Print/Line Acknowledgment #1 * Line Acknowledgment #2 No Line AcknowledgmentDental - $250Foodie Friends - $250Friends of Charities - $250Home and Landscape - $250Investments and Securities - $250Legal - $250Medical - $250Oil and Gas - $250Ranch - $250Real Estate - $250 Recognition Name for Print/Line Acknowledgment #2 * Line Acknowledgment #3 No Line AcknowledgmentDental - $250Foodie Friends - $250Friends of Charities - $250Home and Landscape - $250Investments and Securities - $250Legal - $250Medical - $250Oil and Gas - $250Ranch - $250Real Estate - $250 Recognition Name for Print/Line Acknowledgment #3 * Underwriting Pages Underwriting Full Pages CBA Charitable Focus $1,500 CBA History $1,500 CBA Legacy Foundation $1,500 Friends of Charities $1,500 Grant Recipients $1,500 Index $1,500 Medical/Dental $1,500 Oil & Gas $1,500 Patron Page $1,500 Prize Donors $1,500 Ranch in Texas $1,500 Underwriting Half Pages Foodie Friends $750 Home and Landscape $750 Investment & Securities $750 Legal $750 Real Estate $750 Underwriting Story Ad Featuring a Charity $1,250 Select Underwriting Page Type #1 No Underwriting PageCBA Charitable Focus - $1,500CBA History - $1,500CBA Legacy Foundation - $1,500Friends of Charities - $1,500Grant Recipients - $1,500Index - $1,500Medical/Dental - $1,500Oil and Gas - $1,500Patron Page - $1,500Prize Donors - $1,500Ranch in Texas - $1,500Story Ad - $1,250Foodie Friends - $750Home and Landscape - $750Investment and Securities - $750Real Estate - $750Legal - $750 Recognition Name for Print/Underwriting Page #1 * Select Underwriting Page Type #2 No Underwriting PageCBA Charitable Focus - $1,500CBA History - $1,500CBA Legacy Foundation - $1,500Friends of Charities - $1,500Grant Recipients - $1,500Index - $1,500Medical/Dental - $1,500Oil and Gas - $1,500Patron Page - $1,500Prize Donors - $1,500Ranch in Texas - $1,500Story Ad - $1,250Foodie Friends - $750Home and Landscape - $750Investment and Securities - $750Real Estate - $750Legal - $750 Recognition Name for Print/Underwriting Page #2 * Select Underwriting Page Type #3 No Underwriting PageCBA Charitable Focus - $1,500CBA History - $1,500CBA Legacy Foundation - $1,500Friends of Charities - $1,500Grant Recipients - $1,500Index - $1,500Medical/Dental - $1,500Oil and Gas - $1,500Patron Page - $1,500Prize Donors - $1,500Ranch in Texas - $1,500Story Ad - $1,250Foodie Friends - $750Home and Landscape - $750Investment and Securities - $750Real Estate - $750Legal - $750 Recognition Name for Print/Underwriting Page #3 * Total Amount For Rotogravure $ Datebook Photos, Underwriting, and PurchaseFor specific questions, please contact DATEBOOK@CBAOFSA.ORG. It is possible that the Datebook Page or Underwriting type you want is no longer available. If so you will be contacted to discuss options.Photo Pages Month at a Glance No Month at a GlanceMonth at a Glance - $2,000 Includes a photo of children from nonprofit agency that has received a CBA grant. Family Photo No Family PhotoFamily Photo - $400 18 years or younger Please select a volunteer photographer for your Family photo. (For more contact information, visit our Participation Page on this website.) Photographer * Lauren Aycock - 210.606.7700 - laurenprotraitart@gmail.com Langmore - 210.826.6300 - langmore@langmore.com Marks Moore - 210.618.4848 - marks@marksmoore.com Paul Overstreet - 210.601.1411 - overstreetphoto@sbcglobal.net Robert Shaw - 210.827.9939 - robertshawphoto@gmail.com David Sixt- 210-492-1418 - david@davidsixt.com Gary Stanko - 210.828.7596 - billosmithstudios@yahoo.com Nonprofit Organization Photo No Nonprofit Organization PhotoNonprofit Organization Photo - $400 Includes a photo of children from nonprofit agency that has received a CBA grant. Events, Milestones & Moments No Events, Milestones & Moments PhotoEvents, Milestones & Moments Photo - $400 18 years or younger by professional photographer only. Datebook Underwriting Inside Back Cover $2,000 Inside Front Cover $2,000 Index $2,000 Angel Underwriting You Decide Datebook Underwriting Type #1 No Datebook UnderwritingInside Back Cover - $2,000Inside Front Cover - $2,000Index - $2,000 Recognition Name for Print/Datebook Underwriting #1 Datebook Underwriting Type #2 No Datebook UnderwritingInside Back Cover - $2,000Inside Front Cover - $2,000Index - $2,000 Recognition Name for Print/Datebook Underwriting #2 Datebook Underwriting Type #3 No Datebook UnderwritingInside Back Cover - $2,000Inside Front Cover - $2,000Index - $2,000 Recognition Name for Print/Datebook Underwriting #3 Datebook Angel Underwriting $ If you would like to support the Datebook at a level not listed above please enter an amount here. Recognition Name for Print/Datebook Angel Underwriting Additional DatebooksOne (1) Datebook is complimentary with the Datebook agreement. Additional datebooks are available for $100 each. Payment for extra books is due with this agreement. The purchase of additional Datebooks is not tax-deductible. Additional Datebooks 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100 @ $100 each Total Amount For Datebook $ Charity Ball Check - None -YN Chrysanthemum Ball Reservations* Please note: Chrysanthemum Ball Reservations do NOT count toward Patron levels. Members of The Charity Ball Association should NOT pay dues via this contract. Dues are invoiced separately. MEMBERS’ DUES COVER THE COST OF THEIR BALL RESERVATIONS. You may purchase Reservations for your Guests via this section. For specific questions, please contact Kelly Cavender at kelscav@aol.com or call 210.824.8733. Couples Reservations No Couples Reservations1 Couple - $8002 Couples - $16003 Couples - $24004 Couples - $32005 Couples - $40006 Couples - $48007 Couples - $56008 Couples - $64009 Couples - $720010 Couples - $8000 Individual Reservations No Individual Reservations1 Individual - $4002 Individuals - $8003 Individuals - $12004 Individuals - $16005 Individuals - $20006 Individuals - $24007 Individuals - $28008 Individuals - $32009 Individuals - $360010 Individuals - $4000 Name(s) and Addresses of Person(s) Attending the Ball Total Amount For Chrysanthemum Ball $ Additional Donation $ Total amount of the agreement $ A maximum of $10,000 can be charged via this form. You will be invoiced for any remaining balance. How much do you want to charge today? $ Amount to be charged $ Balance to be invoiced $ Billing Information Are you affiliated with a company or organization? * - Select -Yes, I'd like to enter my company or organization informationNo, I am an individual supporter of Charity Ball Organization * Title/Position Company Website Name Prefix - None -Mr.Mrs.Ms.MissDr.Other... Name Prefix Other... First Name * Last Name * Name Suffix - None -Sr.Jr.IIIIIMDEsqPhDOther... Name Suffix Other... The address below must match your credit card billing address. Address Line 1 * Address Line 2 City * State * - Select -AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonOther... State Other... Postal Code * Country * UNITED STATESAFGHANISTANALAND ISLANDSALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA AND HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRITISH INDIAN OCEAN TERRITORYBRUNEI DARUSSALAMBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLANDSCOLOMBIACOMOROSCONGOCONGO, THE DEMOCRATIC REPUBLIC OF THECOOK ISLANDSCOSTA RICACOTE D'IVOIRECROATIACUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDS (MALVINAS)FAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH POLYNESIAFRENCH SOUTHERN TERRITORIESGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUERNSEYGUINEAGUINEA-BISSAUGUYANAHAITIHEARD ISLAND AND MCDONALD ISLANDSHONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRAN, ISLAMIC REPUBLIC OFIRAQIRELANDISLE OF MANISRAELITALYJAMAICAJAPANJERSEYJORDANKAZAKHSTANKENYAKIRIBATIKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OFKOREA, REPUBLIC OFKUWAITKYRGYZSTANLAO PEOPLE'S DEMOCRATIC REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYAN ARAB JAMAHIRIYALIECHTENSTEINLITHUANIALUXEMBOURGMACAOMACEDONIA, THE FORMER YUGOSLAV REPUBLIC OFMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIA, FEDERATED STATES OFMOLDOVA, REPUBLIC OFMONACOMONGOLIAMONTENEGROMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEW CALEDONIANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN MARIANA ISLANDSNORWAYOMANPAKISTANPALAUPALESTINIAN TERRITORY, OCCUPIEDPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPOLANDPORTUGALPUERTO RICOQATARREUNIONROMANIARUSSIAN FEDERATIONRWANDASAINT BARTHELEMYSAINT HELENASAINT KITTS AND NEVISSAINT LUCIASAINT MARTINSAINT PIERRE AND MIQUELONSAINT VINCENT AND THE GRENADINESSAMOASAN MARINOSAO TOME AND PRINCIPESAUDI ARABIASENEGALSERBIASEYCHELLESSIERRA LEONESINGAPORESLOVAKIASLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDSSPAINSRI LANKASUDANSURINAMESVALBARD AND JAN MAYENSWAZILANDSWEDENSWITZERLANDSYRIAN ARAB REPUBLICTAIWAN, PROVINCE OF CHINATAJIKISTANTANZANIA, UNITED REPUBLIC OFTHAILANDTIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMUNITED STATES MINOR OUTLYING ISLANDSURUGUAYUZBEKISTANVANUATUVATICAN CITY STATEVENEZUELA, BOLIVARIAN REPUBLIC OFVIET NAMVIRGIN ISLANDS, BRITISHVIRGIN ISLANDS, U.S.WALLIS AND FUTUNAWESTERN SAHARAYEMENZAMBIAZIMBABWE Phone * Fax Email Address * Additional Comments