ADMISSION (See reverse side for Sponsorship Level details)

❑ Pot O’ Gold Title Sponsor − $25,000

❑ Emerald Presenting Sponsor − $15,000

❑ Shamrock Sponsor − $10,000

❑ Leprechaun Sponsor − $7,500

❑ Irish Jig Sponsor (1 only) − $7,500

❑ 4-Leaf Clover Sponsor − $5,000

❑ End of the Rainbow Table Sponsor − $2,500

❑ Individual Seats − $250 # _________seats

REGRETFULLY, I CANNOT ATTEND:But I would like to support health care and health related services in Colorado for families and individuals. Please accept my donation of $ ______________ payable to Metro Community Provider Network/Green Tie Gala.

MY CONTACT INFORMATIONName ___________________________________________________

Company _________________________________________________

Phone _______________________ Email _______________________

Address__________________________________________________

City/State/Zip______________________________________________

MY PAYMENT INFORMATION❑ Visa ❑ MasterCard ❑ Discover

Credit Card # ______________________________________________

Expiration Date______________________ Billing Zip Code __________

Signature_________________________________________________

PLEASE SEND TO

Metro Community Provider Network3701 S. BroadwayEnglewood, CO 80113

OR EMAIL TO events@mcpn.org mcpn.org

mcpn.org/giving

For more information, please contact

events@mcpn.org • 303.761.1977

SPONSORSHIP LEVELSTax Deductible Contributions

POT O' GOLD TITLE SPONSOR - $25,000

Business Category Exclusivity • 1st Tier Recognition in All Promotional

Materials & at Event (Full Page/Top Logo Placement) • 5 Tables

(10 seats each) • Mentions in Social Media (8) • Complimentary Valet

EMERALD PRESENTING SPONSOR - $15,000

2nd Tier Recognition in All Promotional Materials & at Event

(1/2 Page/2nd Tier Logo Placement) • 4 Tables (10 seats each)

Mentions in Social Media (6) • Complimentary Valet

SHAMROCK SPONSOR - $10,0003rd Tier Recognition in All Promotional Materials & at Event

(1/4 Page/3rd Tier Logo Placement) • 3 Tables (10 seats each)

Mentions in Social Media (4) • Complimentary Valet

LEPRECHAUN SPONSOR - $7,5003rd Tier Recognition in All Promotional Materials & at Event

(1/4 Page/3rd Tier Logo Placement) • 2 Tables (10 seats each)

Mentions in Social Media (4) • Complimentary Valet

IRISH JIG SPONSOR (1 ONLY) - $7,5004th Tier Recognition in All Promotional Materials & at Event (Logo Only/

4th Tier Logo Placement) • Logo Presence on Entertainment Stage

1 Table (10 seats) • Mentions in Social Media (4) • Complimentary Valet

4-LEAF CLOVER SPONSOR - $5,0004th Tier Recognition in All Promotional Materials & at Event (Logo Only/

4th Tier Logo Placement) • 1 Table (10 seats) • Mentions in Social Media (2)

END OF THE RAINBOW TABLE SPONSOR - $2,500

1 Table (10 seats) • Mentions in Social Media (1)

INDIVIDUAL SEATS - $250