Required fields are indicated with an asterisk (*).
Sponsorship Opportunities
SelectDescriptionAmount
Presenting Sponsor - $10,000 ($9,250 tax deductible)
  • 10 tickets to LAB Party and reserved lounge area with signage.
  • Name/logo on all LAB Party promotional materials including website, step-and-repeat, and invitation, bar and all social.
Partner Sponsor - $5,000 ($4,400 tax deductible)
  • 8 tickets to LAB Party and reserved lounge area with signage.
  • Name/logo on LAB Party website, step-and-repeat, and invitation.
Lounge Host - $2,500 ($2,125 tax deductible)
  • 5 tickets to LAB Party and reserved lounge area with signage.
  • Name/logo on LAB Party website and invitation.
Sub-Total:
Tax-Deductible:
Individual Tickets
QuantityDescriptionAmount
      Individual Tickets

Please reserve ticket(s) at $150 per person ($75 tax-deductible)
      UCLA Residents/Fellows

Please reserve ticket(s) at $75 per person ($0 tax-deductible)
Sub-Total:
Tax-Deductible:
I Would Like to Make a Gift to the Event

I/We are unable to attend, but would like to make a tax-deductible donation.

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

Grand Total:
Tax-Deductible:
 

Personal
Title:
 
* First name:  
  Middle name:
* Last name:  
  Suffix:
UCLA graduation year(s):  

Spouse/Partner
  Name:  

Joint Gift
* This is a joint gift with my spouse/partner:
 

Contact Information
* Street:  
 
U.S. Addresses  
*   City, State, Zip:
 
 
 
Non-U.S. Addresses  
  Non-U.S. City/County
  or Province/Postal Code:
 
  Country:
 
* This address is my:  
* Home telephone:    
Business telephone:  

* E-mail address:  
* This e-mail is my:  

Matching Gift

  My/my spouse's employer will match my gift.
  Company name for matching gifts:
  This company is:
Payment method:
 
Comments: