2006 AAPD Leadership Gala
Pledge Form
Company Name: ____________________________________________
(please print name as it should appear in the awards program and related materials)
Contact Name: _____________________________________________
Title: _____________________________________________________
Address: __________________________________________________
City: ___________________________ State: ______ Zip: __________
Telephone: _____________________ Fax: ______________________
Email: ____________________________________________________
Signature: _________________________________ Date: __________
YES! We would like to support
the 5th Annual
AAPD Leadership Gala at the Capital Hilton in Washington, DC on March
8, 2006.
______$100,000 Lead Sponsor
______ $50,000 Platinum Sponsor
______ $25,000 Gold Sponsor
______ $10,000 Silver Sponsor
______ $5,000 Bronze Sponsor
______ $2,500 Benefactor
______ $1,000 Supporter
Please fax this form to 202-457-0473, and mail donations to:
2006 AAPD Leadership Gala
1629 K Street NW, Suite 503
Washington, DC 20006
Phone: 202-457-0046
Checks should be made payable to:
AAPD (Federal ID #52-1930174)
