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10th Anniversary Joan Hisaoka Gala

Get Your Tickets and Tables

All sponsors contributing $3,000 or more will be listed in both the printed invitation and the program journal if response and payment are received by July 14, 2017.

All other sponsors will be listed in the program journal if response and payment are received by August 18, 2017.

Please complete the pledge form below in your browser, then print a copy and mail or fax to:

Joan Hisaoka Gala
Attn: Susan Hubert
c/o Shapiro Lifschitz & Schram
1742 N Street, NW
Washington, DC 20036
Email: JoansDifference@aol.com or hubert@slslaw.com
Phone: 202.689.1917
Fax: 202.689.1901

* Required Fields

*Name:
*Company:
*Address:
*City:
*State:
*Zip:
Business Number:
*E-mail Address:
Fax Number:
Your name as it should appear in the invitation and/or program:
I/ we will attend the 10th Anniversary Joan Hisaoka "Make A Difference" Gala on September 16, 2017 at the The Omni Shoreham in Washington, D.C., and would like to support Life with Cancer® by making a contribution at the selected sponsorship level(s):
Presenting Sponsor $100,000 Two tables of 10 with priority seating
Diamond Sponsor $75,000 Two tables of 10 with premium seating
Platinum Sponsor $50,000 Two tables of 10 with premium seating
Gold Sponsor $25,000 Two tables of 10 - one with premium seating and one with preferred seating
Silver Sponsor $15,000 One table of 10 with premium seating
Benefactor $10,000 One table of 10 with preferred seating
Friend $8,000 One table of 10 at the Gala
Donor $5,000 Six tickets to the Gala
Contributor $3,000 Four tickets to the Gala
Supporter $1,700 Two tickets to the Gala
I/ we cannot attend, but would like to make a tax-deductible contribution.
Enclosed is my check made payable to Life with Cancer® in the amount of
$

Completed pledge forms should be sent via mail, email, or fax to:
Attn: Susan Hubert
c/o Shapiro Lifschitz & Schram
1742 N Street, NW
Washington, DC 20036
Email: JoansDifference@aol.com or hubert@slslaw.com
Phone: 202.689.1917
Fax: 202.689.1901

Life with Cancer® is part of Inova Health System, a 501(c)(3) healthcare system in Northern Virginia. FEIN number 54-1071867.


For sponsors contributing $3,000 or more, payment and form should arrive by July 14, 2017 to be listed in the invitation. All other sponsor forms and payments should arrive by August 18, 2017 to be listed in the program. *There will be a 3% charge for credit card charges.

Questions may be addressed to Susan Hubert via the phone number or email address listed above or 202.689.1917

Your 2017 Tax Deductible Contribution will benefit Life with Cancer® and the Smith Center.

For more information, contact Susan Hubert Tel: 202.689.1917 | Fax: 202.689.1901