Mosaic Institute Peace Patron Dinner

Quantity
Price
Total
Presenting Patron Table

(10 seats)

X
$
35,000.00=
$
0

Ambassador Table

(10 seats)

X
$
10,000.00=
$
0

Benefactor Table

(10 seats)

X
$
5,000.00=
$
0

Individual Seat
X
$
400.00=
$
0

Platinum Tribute Support

Platinum Level Listing in the evening’s program (optional - 4 seats at the Dinner)

X
$
2,000.00=
$
0

Gold Tribute Support

Gold Level Listing in the evening’s program (optional - 2 seats at the Dinner)

X
$
1,000.00=
$
0

Silver Tribute Support

Silver Level Listing in the evening’s program (optional - 1 seat at the Dinner)

X
$
500.00=
$
0

Bronze Tribute Support

Bronze Level Listing in the evening’s program

X
$
250.00=
$
0

Final Total:
$
0

Receipt Type

Please indicate the type of receipt you prefer to receive by typing "yes" in the appropriate box below:

Business Receipt - Full Amount
Official Tax Receipt (for maximum allowable amount)

Charitable #85627-9617-RR0001

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