Skip to content
+1 321-298-5531
Facebook page opens in new window
Instagram page opens in new window
YouTube page opens in new window
Twitter page opens in new window
Linkedin page opens in new window
Doctors Goodwill Foundation
GET CONSULTATION!
+1 321-298-5531
Home
HIV / HepC
HIV
PrEP
Hep C
About
About Us
Our Leadership
Our People
How We Help
Accomplishments
Sponsors
Gallery
Students
Scholarship Application
Scholarship Opportunities
Scholarships Opportunities
Program
PASS
About Opioids
Find Resources
Testimonials
Blog
Contact Doctors’ Goodwill Foundation
News
Event
Health Expo
Support
Donate
Planned Giving
Volunteer
Medical Equipment
Mission Work
Medical Mission Application
PASS
Gallery
Contact
Home
HIV / HepC
HIV
PrEP
Hep C
About
About Us
Our Leadership
Our People
How We Help
Accomplishments
Sponsors
Gallery
Students
Scholarship Application
Scholarship Opportunities
Scholarships Opportunities
Program
PASS
About Opioids
Find Resources
Testimonials
Blog
Contact Doctors’ Goodwill Foundation
News
Event
Health Expo
Support
Donate
Planned Giving
Volunteer
Medical Equipment
Mission Work
Medical Mission Application
PASS
Gallery
Contact
Test Form
You are here:
Home
Test Form
Masquerade 2019 Registration
Individual Ticket for Event
Price:
$125.00
Quantity:
County-Wide Group Therapy Counseling
Price:
$20,000.00
Quantity:
One Platinum Level Sponsorship*
Funding for Peer Recovery Specialist Professional Care Providers
Price:
$10,000.00
Quantity:
Two Gold Sponsorships Available *
Training, Job Placement & Oversight Peer Recovery Support Specialist
Price:
$7,500.00
Quantity:
Five Silver Sponsorships Available *
Keynote Speaker, Marketing & Audio/Visual
Price:
$5,000.00
Quantity:
Two Bronze Partner Sponsorships*
Food, Catering, Venue Dessert, Wine
Price:
$3,500.00
Quantity:
Two Preferred Sponsorships Available *
Display table at Masquerade Ball and presence at the Annual Spring Health Expo hosted by the Doctors’ Goodwill Foundation.
Price:
$2,500.00
Quantity:
Four Available*
Table of Ten
Price:
$1,000.00
Quantity:
Ten Seats (A savings of $250)
* Includes table for ten at Masquerade Ball and all sponsorship levels will be included on marketing materials
Additional donation:
Total
$0.00
Please list full names of all individual ticket holders
Total
$0.00
Name
*
First
Last
Phone
*
Email
*
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Expiration Date
Security Code
Cardholder Name
Δ
Go to Top
English
Nederlands
English
Français
Deutsch
Italiano
Português
Español