Fill out the form below to purchase your ticket for the Celebration of Life and/or participate in additional Sponsorship Opportunities. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Tickets and SponsorshipsPurchase tickets to the Celebration of Life Price: $75.00 Quantity: Sponsor a Recipient to attend the event Price: $50.00 Quantity: Community Table Price: $1,000.00 Quantity: RESERVED TABLE, ten tickets to the Celebration of Life and $10 worth of raffle tickets for each guest.Friend Sponsor Price: $250.00 Quantity: Corporate name/Individual's name to be included on sponsorship signage displayed at the event and listed on BRF's website. Corporate name/Individual's name to be listed in our tribute book distributed at the event.Bronze Sponsor Price: $500.00 Quantity: Corporate name/Individual's name to be included on sponsorship sign and to be listed on BRF's website. Name and logo in tribute book Two tickets to the Celebration of Life Silver Sponsor Price: $1,500.00 Quantity: Corporate name and logo to be included in all signage and print materials. Corporate name and logo included on BRF's website with a direct link to your site. Half page in tribute book to honoree and six tickets to the Celebration of LifeGold Sponsor Price: $2,500.00 Quantity: Corporate name and logo to be included in all signage and print materials. Corporate name and logo included on BRF's website with a direct link to your site. One full page in tribute book to honoree and one reserved table at the Celebration of LifePlatinum Sponsor Price: $5,000.00 Quantity: Premium signage at your choice of: Reservation, Cocktail/Bar, Band, Buffet or Raffle. Corporate name and logo to be included on all signage and print materials. Corporate name and logo included on BRF's website with a direct link to your site. One full page in tribute book to honoree and two reserved tables at the Celebration of LifeWould you like to help The Breathing cover the credit card processing fees? I'd like to help cover the transaction fees. Add Price: $0.00 Payment InformationCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Total $0.00