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Choose Your Sponsorship Level
Sponsorship Levels*
- Underwriter : $50,000
- Diamond: $25,000
- Gold: $15,000
- Silver: $7,500
- Bronze: $3,500
- Corporate $2,000
- Advertiser: $1,000
- Other
Individual Tickets Only Quantity
Price: $200.00
$200 Each- Enter Number of Tickets you wish to purchase
$ OTHER: I am unable to attend the LAHC Gala, however I would like to make the following Tax-Deductible Contribution:

Enter Amount $
Total
$0.00
Salutation/Title*
Mr. Mrs. Dr....
Name*
First Last
Company/Organization*
Email*
Enter Email Confirm Email
Phone
Billing Address
Street Address Address Line 2 City State ZIP Code
Credit Card
Card Details
Cardholder Name
NOTE: Payments by Check should be made to the: LAHC and mailed to: LAHC. 5275 Kenilworth St. Dearborn, MI. 48126