Annual Gala Sponsorship
Name
*
Company Name
Email
*
I would like to opt-in to the DCCF Newsletter.
Phone
Address (same as credit card)
Apt
Street Number
*
Street
*
City/Town
*
Postal Code
*
Province
*
ONLY 2 letter (e.g: ON for Ontario)
Sponsorship Opportunities
Select Sponsorship
*
Diamond ($4000.00 CAD)
Platinum ($2000.00 CAD)
Gold ($1000.00 CAD)
Silver ($500.00 CAD)
Bronze ($250.00 CAD)
Amount(in CAD):
*
Select Dinner
Chicken Parmigiana Topped with Mozzarella Cheese and Homemade Garlic Tomato Sauce served with Roasted Potatoes and Seasonal Vegetables
Stuffed Roasted Red Pepper with Rice Pilaf served with Roasted Potatoes and Seasonal Vegetables
Specify Dietary Restriction
:
Yes
No
Accessibility/Accommodation required
Select Dinner
Chicken Parmigiana Topped with Mozzarella Cheese and Homemade Garlic Tomato Sauce served with Roasted Potatoes and Seasonal Vegetables
Stuffed Roasted Red Pepper with Rice Pilaf served with Roasted Potatoes and Seasonal Vegetables
Specify Dietary Restriction
:
Yes
No
Accessibility/Accommodation required
Select Dinner
Chicken Parmigiana Topped with Mozzarella Cheese and Homemade Garlic Tomato Sauce served with Roasted Potatoes and Seasonal Vegetables
Stuffed Roasted Red Pepper with Rice Pilaf served with Roasted Potatoes and Seasonal Vegetables
Specify Dietary Restriction
:
Yes
No
Accessibility/Accommodation required
Select Dinner
Chicken Parmigiana Topped with Mozzarella Cheese and Homemade Garlic Tomato Sauce served with Roasted Potatoes and Seasonal Vegetables
Stuffed Roasted Red Pepper with Rice Pilaf served with Roasted Potatoes and Seasonal Vegetables
Specify Dietary Restriction
:
Yes
No
Accessibility/Accommodation required
Select Dinner
Chicken Parmigiana Topped with Mozzarella Cheese and Homemade Garlic Tomato Sauce served with Roasted Potatoes and Seasonal Vegetables
Stuffed Roasted Red Pepper with Rice Pilaf served with Roasted Potatoes and Seasonal Vegetables
Specify Dietary Restriction
:
Yes
No
Accessibility/Accommodation required
Select Dinner
Chicken Parmigiana Topped with Mozzarella Cheese and Homemade Garlic Tomato Sauce served with Roasted Potatoes and Seasonal Vegetables
Stuffed Roasted Red Pepper with Rice Pilaf served with Roasted Potatoes and Seasonal Vegetables
Specify Dietary Restriction
:
Yes
No
Accessibility/Accommodation required
I prefer to be invoiced.
Credit Card Number
*
(Only Visa and Mastercard are accepted)
Expiry Month
*
(1) January
(2) February
(3) March
(4) April
(5) May
(6) June
(7) July
(8) August
(9) September
(10) October
(11) November
(12) December
Expiry Year
*
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
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