I. Sponsor Information

* Name :
* Company / Organization :
* Address :
* City :
* State :			* Zip :
* EMAIL :		* Tel : (xxx-xxx-xxxx)	Fax : (xxx-xxx-xxxx)

II. Sponsorship Levels*: Click here to download a description of sponsorship opportunites (PDF)

	Sponsor
	Titanium Sponsor	$25,000
	Mayor Antonio R. Villaraigosa Tribute Level	$15,000
	Platinum Sponsor	$10,000
	Gold Sponsor	$5,000
	Silver Sponsor	$2,500

III. Guests:

Please complete the following list of representatives and guests attending the 2012 Edward R. Royal Legacy Gala, Honoring Los Angeles Mayor Antonio R. Villaraigosa, at the Andrew W. Mellon Auditorium in Washington, D.C.

	Name	Title
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

* Required Information