Speak Easy Sponsorship Form Speak Easy Sponsorship Name of Business * Email * Phone * Street Address * Town * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Choose Your Sponsorship * Diamond Sponsor $1,500 – includes reserved table w/ 8 seats, 2 complimentary bottles of wine, signage on table, 2 wine pull tickets, recognition during the evening, one year on The Arc website, listing as a 2016 Arc Sponsor for all Arc events (apparel, printed materials) Platinum Sponsor $1,000 – includes 6 tickets, a complimentary bottle of wine, signage on table, 1 wine pull ticket, recognition during the evening, one year on The Arc website. Gold Sponsor $750 – includes 4 tickets to the event, company advertising/signage on table, recognition during event, year on The Arc website. Silver Sponsor $500 – includes 2 tickets to the event, advertising/signage on table, recognition in the program/at event, 6 months on The Arc website. Donations $499 and Under Includes signage on a table and recognition during event Please Enter Donation Amount reCAPTCHA If you are human, leave this field blank. Δ