Annual Dinner Organization Pledge Form & Registration Form

CHAPA's 49th Annual Dinner - November 1, 2016
Event Registration is closed.

PLEDGE FORM

Please select a sponsorship tier by indicating a quantity in the quantity field to the right of the sponsorship level(s). If you wish to purchase 1 Patron level sponsorship, put a 1 in the quantity box next to Patron.

To purchase individual tickets, indicate the number of tickets you wish to purchase in the quantity field to the right of that ticket option.

If you are having any problems with this form, please contact eroussinova@chapa.org.

Photo, Audio and Video Recording Releases
By entering the event premises, you consent to interview(s), photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for news, web casts, promotional purposes, telecasts, advertising, inclusion on websites, or any other purpose by Citizens' Housing and Planning Association (CHAPA) and its affiliates and representatives. You waive all rights you may have to any claims for payment or royalties in connection with any exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose or sponsoring of such exhibiting, broadcasting, web casting, or other publication Irrespective of whether a fee for admission or sponsorship is charged. You also waive any right to inspect or approve any photo, video, or audio recording taken by CHAPA or the person or entity designated to do so by CHAPA. You release CHAPA, its officers and employees, and each and all persons Involved from any liability connected with the taking, recording, digitizing, or publication of Interviews, photographs, computer images, video and/or or sound recordings.