Butterfly Ball - Fourth Annual Child
Mental Health Gala
The Dominion Club
To Register Online, click here.
MAKE YOUR RESERVATIONS
TODAY
£
Event Ticket – $100 each
Number of tickets ________
£
Monarch Sponsorships - $10,000
20
tickets to the Butterfly Ball
Recognition
at the Event
£ Painted Lady Sponsorships - $7,500
12 tickets to the Butterfly Ball
Recognition at the Event
£ Swallowtail Sponsorships - $5,000
8 tickets to the Butterfly Ball
Recognition at the Event
£ Peacock Sponsorships - $2,500
4 tickets to the Butterfly Ball
Recognition at the Event
£ Skipper Sponsorships - $1,000
2 tickets to the Butterfly Ball
Recognition at the Event
£ Gift – I/We are unable to
attend, but have enclosed a contribution in the amount of $_______________.
For more information please contact
NOTE TO SPONSORS: Information must be received by
Name: ________________________________________________________________________
Sponsor
Name for Program: ____________________________________________________
Address:
_______________________________________________________________________
City/State/Zip: ________________________________________________________________
Telephone
(Day/Evening): ______________________________________________________
Email_____________________________________________________________
Payment Options:
Check for $_________________ (Please make checks payable to: VTCC Advisory Council)
1 VISA 1 MasterCard Card
Number________________________________________________
Exp. Date _____________
Name on Account___________________________________________________________________
Signature_____________________________________________________________________________
Thank you for your support! $25 of each ticket is tax deductible.
Advisory Council of the Virginia
Treatment Center for Children
800 E. Leigh Street, Suite 150 Richmond, VA 23219
Tax ID # 52-1586450