Southern Social

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Southern Social Private Sponsorship

Print your name as you wish it to appear on materials*

Contact first name/title*

Contact last name*

Email address*

Billing address*

City*

State*

Zip code*

-

Telephone*

Fax



Sponsorship

Sponsorship

Sponsorship levels available:
Friend - $1,000
Host - $500
Supporter - $250
Sponsorship level*

Additional Southern Social tickets
may be added for $50
per person with
a paid sponsorship package:

Additional Donation Amount

Total to be billed:



Payment Information

Payment