Several Sources

Several Sources Shelters Logo

2022 Seasons Event Registration

Please fill out and submit the form below to secure your place at the Seasons of the Heart Dinner on Wednesday, October 19th.

Select Sponsorship Donation

Founder's Circle

$40,000

(4) Dinner tables, preferred seating, event signage

Platinum Sponsor

$20,000

(3) Dinner tables, preferred seating, event signage

Gold Sponsor

$10,000

(2) Dinner tables, event signage

Silver Sponsor

$5,000

(1) Dinner table, event signage

Bronze Sponsor

$2,500

Includes 4 tickets

Ivory Sponsor

$1,000

Includes 2 tickets

Individual Ticket(s)

$350

Individual ticket(s) to the dinner

Please provide the name(s) of your ticket guest(s)

Guest Name

Add Second Guest Name

Second Guest Name

Add Third Guest Name

Third Guest Name:

Add Fourth Guest Name

Fourth Guest Name:

Add Fifth Guest Name

Fifth Guest Name:

Add Sixth Guest Name

Sixth Guest Name:

Add Seventh Guest Name

Seventh Guest Name:

Add Eighth Guest Name

Eighth Guest Name:

Sorry, I am unable to attend this event.

If you are unable to attend the event but would still like to submit a donation, please select a donation amount below.

$

Your Information

First Name

Last Name

Address

City

State

Zip

Phone Number

Email

Payment Details

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

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CVV

Donor hereby approves the payment of the charitable donation and/or purchase to Several Sources Shelters and in the amount set forth herein.

Donation amount