Table Host Sponsor Form – Water Solutions for Africa

Name/Organization *

Please type the name you would like to appear on printed material. If you would like to remain anonymous please type that next to your name.

Address: *

City/State/Zip

Phone Number *

Email *

Signature *

Type your name here to authorize the donation. If you would prefer a paper copy please let us know!

I/we would like to sponsor at the following level *

Table Hosting Options *

I am attending and would like to host and fill my table with other potential supporters and donors. Please send me a host packet with more information.
I am attending but will only use two tickets. Please provide seating assignment for my guest and myself
I am unable to attend the Gala. Please use my tickets as you see fit.

Payment Options *