INAUGURAL MUSIC AWARDS GALA

June 5th, 2018

Sponsor Name:_______________________________________________________________

Sponsor Approval Name & Title:________________________________________________

Sponsor Approval Signature:__________________________________________________

Mailing Address:_____________________________________________________________

City, State, Zip:______________________________________________________________

Phone & Email:_______________________________________________________________

___$20,000 THE ROCKSTAR ___$10,000 RECORD LABEL ___$7,000 THE PRODUCER

___$5,000 THE MANAGER ___$2,000 THE FAN

___I/We cannot attend, but would like to make a donation $___________.

Check payable to Boys & Girls Clubs of West San Gabriel Valley

(or donate online at wsgvbgc.org)

Or by credit card charge reservation to: □ VISA □ M/C □ AMEX

Card #: ___________________________Expiration Date ____/_____ Security Code: _____

Amount: $______________________ Name on Card _______________________________

Billing Address_______________________________________________________________

Cardholder’s Signature_________________________________________Date:___________

Please mail to: (or email klian@wsgvbgc.org)

Boys & Girls Club of West San Gabriel Valley 328 S. Ramona Ave. Monterey Park, CA 91754 Attn: Kevin Lian

Thank You!