Tickets Jack Webb Awards Registration*Please choose from the options below. Sponsorship Packages (Includes tables, tribute journal ads and branding at the gala) Event Tribute Journal Individual Tickets Click here for a downloadable version of the Jack Webb Awards registration form. If you cannot attend the event and would like to submit a donation online, please click here. Commander Sponsor Two Premier Tables of 10 including Honoree Reception Inside Cover or Platinum Digital Tribute Journal Page Corporate logo or name displayed at event Price: $20,000 Captain Sponsor One Premier Table of 10 including Honoree Reception Gold Digital Tribute Journal Page Corporate logo or name displayed at event Price: $15,000 Lieutenant Sponsor One Table of 10 including Honoree Reception Silver Digital Tribute Journal Page Corporate logo or name displayed at event Price: $10,000 Sergeant Sponsor One Table of 10 (with 2 tickets to the Honoree Reception) Full Black & White Digital Tribute Journal Page Corporate logo or name displayed at event Price: $5,000 Medal of Valor Sponsor Host a table of Medal of Valor recipients One Table of 10 OR Host a table of Medal of Valor recipients Half Black & White Tribute Journal Page Price: $3,000Jack Webb Awards Sponsorships*Please choose a sponsorship level below for more detailsCommander Sponsor [$20,000]Captain Sponsor [$15,000]Lieutenant Sponsor [$10,000]Sergeant Sponsor [$5,000]Medal of Valor Sponsor [$3,000]Total $0.00 2019 Jack Webb Awards Ticket* Price: $500.00 Quantity*Please enter a value between 0 and 500.Total $0.00 Event Tribute Journal*The Tribute Journal will be handed out at the 2019 Gala to all who attend and will also be mailed to those who placed an ad and did not attend. In addition, it will be emailed to our mailing list and remain online at the laphs.org/gala/thanks for the entire year. For copy requiring our assistance, please include your clearly written or typed message on a separate sheet of paper and we will design your message. Please email messages along with JOURNAL commitments to: firstname.lastname@example.org. Journal artwork deadline is September 6, 20194 Color [$5,000]Gold Ad [$3,000]Silver Ad [$2,000]Full B/W Ad [$1,000]Half B/W AD [$500]Quarter B/W Ad [$250]Total $0.00 Guest ListPlease list the names of all the guest who will be attending or click Next to skip.First NameLast Name Name* First Last Company NameAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Home Phone*Daytime PhoneFaxEmail* Please click the button below to proceed to payment. Your registration will NOT be complete until you submit payment. Payments can be made using Visa, MasterCard, Discover or American Express. A PayPal account is NOT required.QuantityCommentsThis field is for validation purposes and should be left unchanged.