2007 AAPD Leadership Gala
Pledge Form
Printable 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 6^th Annual AAPD Leadership Gala at the Capital Hilton in Washington, DC on March 7, 2007.

______$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

______ Other  (Please specify)

Please fax this form to (703) 442-8336, and mail donations to:
2007 AAPD Leadership Gala
1320 Old Chain Bridge Road, Suite 330
McLean, VA 22102
Phone: (703) 556-9401

Checks should be made payable to:
AAPD (Federal ID #52-1930174)

Reasons to Attend the 2007 Gala