Installation Dinner 2026 – Sponsorship and Journal Ads Payment and journal ad must be received by June 12, 2026, to ensure placement of ad in journal. Click here to pay for sponsorship/journal ad by check Please enable JavaScript in your browser to complete this form.Name *FirstLastFirm *Address *Address Line 1City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Sponsorships and Journal Ad Options Dinner package includes 5 guest tickets, a full-page ad in the Dinner Journal and Sponsorship Recognition Cocktail Hour package includes 3 guest tickets, a half-page ad in the Dinner Journal and Sponsorship Recognition Music package includes 2 guest tickets, a quarter page ad in the Dinner Journal and Sponsorship Recognition Please select one of these options: *Dinner – $3,000Cocktail Hour – $2,000Music – $1,500Journal only – Full page – $750Journal only – Half page – $500Journal only – Quarter page – $375Journal only – Business card – $200Upload a PDF for your journal ad * Drag & Drop Files, Choose Files to Upload Total Contribution$0.00ParticipantsAttendee 1 *Attendee 2 *Attendee 3 *Attendee 4 *Attendee 5 * Authorize.Net Upload Firm ConfirmationAgreement *I agree to sponsor the Queens County Women’s Bar Association’s June 23, 2026 Installation Dinner as indicated abovePayment We accept VISA, MasterCard, and Discover – we cannot process AMEX at this time. Authorize.Net *Card NumberMM123456789101112Expiration/YY2627282930313233343536Security CodeSubmit
