Payments Leadership Geauga Payments Name* First Last CompanyEmail* Phone*Leadership Geauga Class year (if applicable)Payment Type InformationPayment Type*Adult Program PaymentYouth Program PaymentAlumni DuesEmerald Ball Corporate SponsorshipEmerald Ball AdvertisementClass Basket Donation for Emerald BallHeritage Program PaymentOtherAlumni Dues$65 Individual Active Alumni Dues$100 Individual Dedicated Alumni Dues$125 Small Business Alumni Dues$250 Corporate Alumni DuesOut of state alumni duesAlumni Heritage Program PaymentHeritage Program Payment (Non-Alumni)OtherIssue day sponsorshipNo issue day sponsorship$25 (individual)$250 (corporate)If you would like to sponsor an issue day please indicate the day in the comments boxEmerald Ball Corporate SponsorshipEmerald Sponsor (full 10 person table)Sapphire Table Sponsor (4 tickets)Amethyst Table Sponsor (2 tickets)OtherEmerald Ball AdvertisementDouble Topaz - full pageTopaz- half pageAdult Program Payment Amount Youth Program Payment Amount Amount to be Donated to Class basket Custom "Other" Payment Amount Heritage Program Payment AmountHeritage Program Payment (Non-Alumni) - $400.00Heritage Program Payment (Alumni) - $350.00CommentIf you chose to sponsor an issue day(s) please indicate the name of the one you would like to sponsor. This is where you would also list your class basket if you are donating to thatTotal $0.00
