Casino Night Event Registration Form Please complete this form to register for the event. "*" indicates required fields Step 1 of 5 20% I am interested in:Select All That Apply Becoming A Sponsor Select All Diamond Monthly Clinic Sponsor $5,000Diamond sponsors cover the cost of our clinic medical staff salaries for one month. The Pitboss will wear a large sponsor button with Diamond Sponsor names, which will also be prominently displayer throughout the evening. Enjoy 10 Casino Night tickets, valued at $1,250, as a special thank you.Not SelectedDiamond Monthly Clinic Sponsor $5,000Gold Black Jack Tournament Sponsors $3,000There will be men's, women's and unisex blackjack tournaments with exclusive gift basket prizes. Enjoy six Casino Night tickets, valued at $750, as a special thank you.Not SelectedGold Black Jack Tournament Sponsors $3,000Silver Sponsorship Craps Tables $1,500These are the most popular and busiest tables. Enjoy four Casino Night tickets, valued at $500, as a special thank you.Not SelectedSilver Sponsorship Craps Tables $1,500Roulette Tables $750Always a crowded table. Enjoy two Casino Night tickets, valued at $250, as a special thank you.Not SelectedTourlette Tables $750Black Jack or Poker Tables $350Not SelectedBlack Jack or Poker Tables $350Sponsor Video Full Screen Slide $100We encourage our sponsors to submit their own marketing slide for our presentation in one of the following formats: .pdf, .jpeg, Word, PowerPoint. If you would like us to create the slide, please email any information you want included n the slide and we can create one for you. We will ask for you approval prior for the final presentation. For more information on advertising or to submit an ad, please email Kristin Preziosi at Kristin.preziosi@novahope.orgNot SelectedSponsor Video Full Screen Slide $100Upload Marketing SlideMax. file size: 50 MB. Purchasing A Casino Night Ticket Quantity Price: $125.00 Quantity Bus Ticket To & From Casino for $30/person Quantity15 items available.The bus will leave from Midtown Manhattan at 6 PM and will return to New York at the close of the Casino Night. Only 25 spots are available. Price: $30.00 Quantity Additional Donation To Continue Support Our MissionDonate to help NOVA continue its mission of providing medical care to the community of Cavaillon Haiti. Proceeds to benefit the furnishing of our newly rebuilt medical clinic and annual operating expenses. 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