The Gordon Parks Foundation - Gala Registration Form

Thank you for your interest in our June 4, 2019 Awards Dinner and Auction. If you would like to purchase a ticket or make a contribution, please fill out the form below. If you have any questions, please call 914-579-1000.

Registration Options

Tables

Underwriter Table(s) of twelve - $100,000

Premium seating for twelve at the Dinner | Listing as a Co-Chair in the printed materials | Premium Two-Page Spread in the Tribute Program

Leadership Table(s) of ten - $50,000

Premium seating for ten at the Dinner | Listing as a Dinner Chair in the printed materials | Premium Full-Page in the Tribute Program

Benefactor Table(s) of ten - $25,000

Preferred seating for ten at the Dinner | Listing as a Benefactor in the printed materials | Full Page in the Tribute Program

Patron Table(s) of ten - $12,500

Seating for ten at the Dinner | Listing as a Patron in the printed materials

Tickets

Leadership Tickets - $5,000

Premium seating for one at the Dinner | Listing on the Benefit Committee in the printed materials

Benefactor Tickets - $2,500

Preferred seating for one at the Dinner | Listing on the Benefit Committee in the printed materials

Patron Tickets - $1,250

Seating for one at the Dinner

Tribute Program

Center Spread

Two-Page Spread

Back Cover

Inside Front Cover

Inside Back Cover

Full Page

Half Page

Quarter Page

I/We cannot attend this great evening, but would like to make a contribution of $

If you will be attending and would also like to make an additional contribution please enere it here.

Total amount to be charged today $

This field is calculated automatically based on the amounts selected above.

Title

Title Other...

First Name *

Last Name *

Suffix

Suffix Other...

Listing Name *

(Your full name as you wish to be listed on all printed materials.)

Company or Organization Name

Position or Job Title

Email Address *

Phone *

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Country *

Additional Notes