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Submit this form if you need to be invoiced for your sponsorship or if you prefer to pay by check.
If you are ready to purchase now using a credit card, click here to use our secure ticketing site.

INDIVIDUAL OR COMPANY NAME

CONTACT NAME

ADDRESS

Address

City/Town

State/Province

- Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

ZIP/Postal Code

PHONE

EMAIL

NAME FOR RECOGNITION

	SELECT YOUR CHOSEN SPONSORSHIPS/VIP TICKET LEVEL
	EL PRESIDENTE $3,000
	EL JEFE $2,000
	MOJITO $1,000
	MAMBO $500
	CUBAN CUISINE $3,500
	BAR CUBANA $2,500
	SOUVENIR CUPS $1,000
	GAMING TABLE $500
	PRIZE PACKAGE SPONSOR $500
	PATIO MUSICA $500
	WINE PULL $300
	CIGAR PULL $300

ADDITIONAL INFO

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If your sponsorship includes logo acknowledgement, we will need the logo submitted via email and will contact you after we receive your form submission.

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