Hayzel B. Daniels Scholarship Dinner, 24’

Please review, download, and fill out the full Sponsorship Guide here. Email your completed form to events@arizonablackbar.org and submit your payment via paypal, venmo, zelle, cashapp or check.

Download Sponsorship Guide Here

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email *

Phone *

(###)

###

####

Company or Organization Name *

Ticket

Single Ticket - $150

Number of Tickets *

Are you registering 10 people on behalf of the Collaborative Bar? *

Type of sponsorship

Presenting-$15,000

Gold-$10,000

Silver-$5,000

Bronze-$2,500

Names of attendees at table *

Please separate names with a comma

Meal Option *

Meat (Chicken)

Vegetarian

Method of payment *

PayPal

Zelle

Cash App

Check

Thank you!

Your registration will not be complete until you have made payment. Please submit and proceed below for payment options.

If submitting payment by check, check should be made payable to the Arizona Black Bar and mailed to:

P.O. Box 628 Phoenix, AZ 85001

Attention: Scholarship Banquet 2023/Pearlette Ramos

Thank you for joining us for our Hayzel B. Daniels Scholarship Dinner happening Saturday, Novemer 16, 2024.

Please review the full Sponsorship Guide, fill out the form, and submit your payment via paypal, venmo, zelle, cashapp or check.

Your registration will not be complete until you have made payment. Please submit and proceed to the bottom of this page for payment options.

Single ticket - $150

Once you have submitted the form above please use the following information to submit payment via Paypal, Zelle, Venmo, or Cash App.

If submitting payment by check please make it payable to: The Arizona Black Bar

Mail your payment to:

P.O. Box 628

Banquet 2024/ Sam Brown

Phoenix, AZ 85001

PayPal

ZELLE using our email address:

ABB@arizonablackbar.org

Cash App

$ArizonaBlackBar

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