Thursday, Sept. 27th
7:30 PM - 11PM

Venue: Blind Dragon




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
SelectDescriptionAmount
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:
 
Guests
Please list individuals - other than yourself - who will be attending.
(Enter "Guest" if you are unsure of guest identity at this time.)

If more space is needed, or you have any questions or requests, please use the Comments box below.

 Guest 1:
 Guest 2:
 Guest 3:
 Guest 4:
 Guest 5:
 Guest 6:
 Guest 7:
 Guest 8:
 Guest 9:
 Guest 10:

 
Comments: