Vendor and Sponsorship Event Vendor & Sponsorship Form Name(Required) First Last Phone(Required)Email(Required) Company/Organization Name(Required)Website Choose Event:(Required) Let's Connect Haitian Heritage Month Leadership Summit Holiday Soiree/Gala Haitian NBA Basketball GameNight with Orlando Magic Are You Already a GHACC Member?(Required) Yes absolutely! Not yet Vendor Tables Quantity Price: $300.00 Quantity Sponsorship Level Let's Connect - $1,500 Silver Sponsor - $1,500 Gold Sponsor - $3,000 Platinum Sponsor - $5,000 Total Coupon BILLING INFORMATIONBilling Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit or Debit Card(Required) Δ
