Sponsorship for Shakthi VIRTUAL Gala 2021 : Driving for Independence

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Sponsorship for Shakthi VIRTUAL Gala 2021 : Driving for Independence

Join us on October 2nd, 2021 at 6:00pm for Shakthi's Virtual Gala - a vibrant night of festivities as we celebrate another year of success for Shakthi US!

To complete your sponsorship, please
1) Submit this form AND
2) Visit: https://www.shakthius.org/2021-gala to make the the sponsorship payment.

Please note BOTH steps are necessary.

A Zoom link for the Gala will be sent to you the day before the event.

Sign in to Google to save your progress. Learn more

Email *

Sponsorship Levels

First Name *

Last Name *

Phone Number *

Street Address *

State *

Zip Code *

Company/Business Name *

Sponsorship Level *

Level 1: Full Throttle - $1,000+

Level 2: Pedal to the Metal - $500

Level 3: Cruise Control - $250

REMINDER: To Complete Payment for Sponsorships, please visit: https://www.shakthius.org/2021-gala after submitting this form.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy