Registration Form for ANE Celebration Dinner 26

Event Ticket Information

The fair market value of the dinner is $200 per person which is not tax deductible.

Anniversary Sponsor$250,000.00| FMV= $4,200 | Includes 21 Tickets

Qty

Sub Total$0

Presenting Sponsor (exclusive)$100,000.00| FMV= $2,200 | Includes 11 Tickets

Qty

Sub Total$0

Patron Sponsor (exclusive)$75,000.00| FMV= $2,000 | Includes 10 Tickets

Qty

Sub Total$0

Benefactor Sponsor$50,000.00| FMV= $2,000 | Includes 10 Tickets

Qty

Sub Total$0

Diamond Sponsor$25,000.00| FMV= $2,000 | Includes 10 Tickets

Qty

Sub Total$0

Platinum Sponsor$15,000.00| FMV= $800 | Includes 4 Tickets

Qty

Sub Total$0

Gold Sponsor$10,000.00| FMV= $800 | Includes 4 Tickets

Qty

Sub Total$0

Silver Sponsor$6,000.00| FMV= $400 | Includes 2 Tickets

Qty

Sub Total$0

Bronze (Individuals Only)$1,000.00| FMV= $200 | Includes 1 Ticket

Qty

Sub Total$0

Contact Info

I am donating as a...

Organization Name

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Last Name

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Yes, I would like to receive email communications.Yes, I would like to receive email communications.

*I have read and agree to:

MCI's Data Protection and Privacy Policy/Group Data Protection and Privacy Policy

ANE's Privacy Policy.

ANE's Conference Policies (Cancellation/Refund, Photography/Videography, Waiver or Liability)

Policies can be found here: https://plus.mcievents.com/event/ANCCMP2026/regPage:bcdef1fa-ff1c-4ca5-894a-6fc20648774f?RefId=ATTENDEE&rt=de7qwxZQNkyDau3EgrU0jw

How should we list you in our program?

Payment

Card Number

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Account TypeCheckingSavings

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