Gala Sponsorship – NJPHIPAC

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- About Us
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NJUMP

About Us
- About Us
- FAQs
- Board of Directors
- Contact Us
- Media
Get Involved
Endorsements
Resources
- Current Vaccine Schedule
- PAC Chats
NJUMP

© 2026 NJPHIPAC

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Name *

First

Last

Email *

Street Address *

City *

State *

Zip Code *

Phone *

Text Preference

I would NOT like to receive text messages from NJPHIPAC

Employment Information

*Required to be collected by NJ ELEC Law*

Occupation *

Employer Name *

Employer Street Address *

Employer City *

State *

Zip *

Health Freedom Warrior – $7,500

10 VIP tickets – Logo on Step & Repeat – Full Page Color Ad in Event Program – Event Signage – Video Screen Recognition – 3 Live Mentions Day of Event

Health Freedom Champion- $5,000

6 VIP tickets – Full Page Color Ad in Event Program – Event Signage – Video Screen Recognition – 3 Live Mentions Day of Event

Health Freedom Advocate – $2,500

4 VIP tickets – Half Page Color Ad in Event Program – Event Signage – Video Screen Recognition

Health Freedom Supporter- $1,000

2 VIP Tickets – Half Page Color Ad in Event Program – Listed on Event Signage – Video Screen Recognition

Sponsorship Level *

Health Freedom Warrior – $7,500.00
Health Freedom Champion – $5,000.00
Health Freedom Advocate – $2,500.00
Health Freedom Supporter – $1,000.00

Name for Sponsorship *

Address for Sponsorship

Address Line 1

Address Line 2

City

State

Zip Code

Business Phone

Business Website / URL

Please upload your logo here

Drag & Drop Files, Choose Files to Upload

Optional Additional Donation *

Credit Card *

Card

Name on Card

Total *

$0.00

Comment or Message

Sponsorship Add-Ons

Please select: *

Company Name/ Logo added to program – $150.00
Cocktail Napkins with your name / Logo – $500.00
Centerpiece Name Recognition – $2,000.00
Promotional Items with your logo – $5,000.00

Business Name for Sponsorship *

Business Phone *

Address for Business Sponsorship

Address Line 1

Address Line 2

City

State

Zip Code

Business Website / URL *

Please upload your logo here

Drag & Drop Files, Choose Files to Upload

Donor Name *

First

Last

Email *

Street Address *

City *

State *

Zip Code *

Phone *

Text Preference

I would NOT like to receive text messages from NJPHIPAC

Employment Information

*Required to be collected by NJ ELEC Law*

Occupation *

Employer Name *

Employer Street Address *

Employer City *

State *

Zip *

Optional Additional Donation

Credit Card *

Card

Name on Card

Total *

$0.00

Comment or Message

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