Inaugural Huntington
Beach Mayor's Ball 2019

- A Charity Event -

Acknowledging:
Hon. Mayor Erik Peterson

Highlighting:
American Legion - Post 133
Sand Dollars of Huntington Beach
and the Miss HB Scholarship Program

Hosted by: Unity Impact, Inc.

Your Contact Information:

TODAY'S DATE: * +

FIRST NAME *

LAST NAME *

BUSINESS OR ORGANIZATION NAME

EMAIL ADDRESS *

STREET ADDRESS *

CITY *

STATE *

ZIP CODE *

BEST CONTACT PHONE NUMBER *

Event Ticket and Table Host Opportunities:

NUMBER OF EVENT TICKETS YOU WISH TO PURCHASE?

	Individual Ticket - $125.00
	Table Hosting for 10 - $1,110.00

Full Name of Guest Attending: *

Full Name of Guest Attending:

Ad Space and Sponsorship Opportunities:

TYPE OF DONOR / SPONSOR

Personal

Organization/Group

Business

LEVELS OF SPONSORSHIP YOU WISH TO GIFT?

Manning Mainstay - $5,000	Sullivan Surety - $,2500
Peterson Patron - $1,500	Mandic Mentor - $500 (full page ad)
Helme Humanitarian - $300 (half page ad)	Kelly Kinship - $175 (quarter page ad)
Message to the Mayor - $25 (bubble-like message)

If choosing to write the Mayor a "message", please include it below:

WE ARE UNABLE TO ATTEND, BUT WOULD LIKE TO DONATE!

Please press "calculate" to determine the total amount of your gift.

GRAND TOTAL DUE:

$0.00

Please make checks payable to: UNITY IMPACT, Inc.

Your Check Information:

NAME ON CHECK: *

CHECK # BEING SENT: *

Unity Impact is a 501(c)(3) nonprofit - EIN#: 82-2948888 - Further information at: unityimpact.org