Contribute

Personal Information

First Name: *

Last Name: *

Company:

Address: *

Apt/Suite No.:

City: *

Country: *

State: *

Zip Code: *

Email: *

Verify Email: *

Email does not match

Phone:

Custom Information

Custom check box 1.

Label 1:

Custom check box 2.

Label 2:

Custom check box 3.

Label 3:

Custom check box 4.

Label 4:

Custom check box 5.

Label 5:

Choose Your Dancing Star

Please enter your Dancing Star's name from the following list. (Enter the name in the Notes box):
1) Trisha Sheffield (LISD School Board)
2) Tim Tittle (Lewisville Fire Chief)
3) Russell Kerbow (Lewisville Chief of Police)
4) Carol Longacre (Longacre Construction Co.)
5) Louis Osuna (Parts Director Huffines CJDR)
6) Shelly Hines (Mary Kay Sales Director)
7) Jeff Potter (Future Financial Solutions/New York Life)
8) Kim Deary (Time Warner Business Class)
9) No Preference

Notes:

Employee Information

Employee ID:

Department Name:

Work Location:

Affiliation

Level:

Member Number:

Student Number:

Class Year:

Birth Date:

Membership

Level:

select

Shirt Size:

Description:

Amount:

Member Number:

Student Number:

Class Year:

Birth Date:

Legal Verification

Occupation *

Employer *

I am a United States citizen or permanent resident alien.

This contribution is not made from the general treasury funds of corporation, labor organization or national bank.

Ticket and Sponsorship Options

Regular Dinner Ticket ($40)
Dance Floor Dinner Ticket ($50)
Corporate Prime Table Sponsor ($1000)
⋄ Dinner for 10 ⋄ Seating near dance floor ⋄
⋄ Full page program ad ⋄ Event Recognition ⋄
Corporate Table Sponsor ($750)
⋄ Dinner for 10 ⋄ Half page program ad ⋄ Event Recognition ⋄
Disc Jockey Sponsor ($650)
⋄ Dinner for 4 ⋄ Business card ad ⋄ Event Recognition ⋄
Business Table ($500)
⋄ Dinner for 4 ⋄ Half page program ad ⋄ Event Recognition ⋄
Star Dancer Donation ($250)
⋄ Program Listing ⋄
Silent Items Sponsor ($100)
⋄ Sign at Auction Table ⋄