Gala Sponsorship Order Form

After completing the order form below, click "SUBMIT" and you will be taken to our secure online payment site. After you have submitted your credit card information, you will receive email confirmation of your payment. Receipt of payment confirmation is also confirmation that your order has been placed and received by the SPES Advancement Office. ALL proceeds from this event are directed toward classroom technology at SPES. Thank you for your support of the students of St. Pius Elementary School!

NAME AS IT SHOULD APPEAR ON SIGNAGE (if purchasing a sponsorship):

DESIRED SPONSOR LEVEL (CHECK ONE):

	Superman's Kryptonite Beverage Sponsor- $3500
	Gotham Games & Grooves Entertainment Sponsor - $3500
	Spiderman's Web Bib Sponsor-$2500
	The Avengers Table Sponsor - $2000
	The Sidekicks Individual Sponsor - $500
	Individual Ticket - $75 per

If purchasing tickets only (no sponsorship), how many tickets would you like to purchase?

(1 required)

TOTAL COST OF SPONSORSHIP/TICKETS:

CONTACT FIRST AND LAST NAME:

CONTACT PHONE:

Preferred Mode of Delivery (Choose One):

Mail--USPS

Deliver to Youngest Child's Homeroom

Event Night Pick-Up at WILL CALL Desk

Mailing Address (if applicable):

Youngest Child's Name:

Youngest Child's Homeroom Teacher:

* Email Address:

St. Pius Elementary does not discriminate on the basis of race, color, gender, national or ethnic origin.