An Evening with the UCLA Quarterback Club 2026

Gift Information

Sponsorships
For more information on sponsorships, please contact Leigh Dierck at: ldierck@mednet.ucla.edu.
Select	Description	Amount

	Touchdown Sponsor $25,000 ($24,040 is tax-deductible) Premier table of 6, joined by a featured UCLA Quarterback panelist and their guest Name or logo on step and repeat* Only three Touchdown sponsorships available *For Touchdown sponsorship step and repeat recognition, please register and submit your recognition name or logo by March 16, 2026.
	First Down Table Sponsor - $10,000 ($9,040 is tax-deductible) A table of 6 plus a UCLA Quarterback and his guest
	Individual Seat - $1,250 ($1,090 is tax-deductible) One dinner seat, UCLA Quarterbacks are subject to availability for individual seat sections

Sub-Total:
Tax-Deductible:

Tax-deductible Gift

I would like to make a fully tax-deductible donation to the Quarterback Club Event Fund, fund #64602C.

I would like to make a fully tax-deductible gift of * Other $ *

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Tax-Deductible:

Donor Information

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Additional Information

	* Your recognition name as a sponsor.:	*
Guest Information Please indicate the names of all guests. If you do not have guest names at this point in time, please submit them to Leigh Dierck at ldierck@mednet.ucla.edu no later than April 1, 2026. If you are the main registrant, no need to include yourself below as we have your information above. Please enter the remaining allotted guest names in the fields below.
	Guest 1 Name:
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	Guest 4 Name:
	Guest 5 Name:
	Guest 6 Name:

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