Sponsorship

Fields marked * require an entry.

Package Name	Amount	Subtotal
Please select a level by entering 1 in quantity box.

Parrotheads	$50,000.00	$0.00



Cheeseburger in Paradise	$25,000.00	$0.00



Lost Shaker of Salt	$10,000.00	$0.00



Fins Up	$7,500.00	$0.00



$5,000 Fund A Cure Champion	$5,000.00	$0.00



VIP Host	$500.00	$0.00

Additional Fund A Cure Donation

Fund a Cure Amount:

Total:

$0.00

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event 2021 Promise Ball.

I authorize Breakthrough T1D - Greater CT and Western Mass Chapter - 4090 to use the credit card entered on the submission page at event 2021 Promise Ball. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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Please select a level by entering 1 in quantity box.

Additional Fund A Cure Donation

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