2025 Champions of Choice Gala

Monday, April 28, 2025

6:00pm - 10:00pm

Gotham Hall, 1356 Broadway, New York, NY

Contact Information

First Name Last Name

Street Address Address Line 2 (Optional)

Country Postal Code City State/Province

Email Mobile Phone (Optional)

(Optional)

Table & Ticket Information

For detailed information about Champions of Choice sponsorship table, ticket and journal ad benefits, please see this document.

To discuss other ways to make your purchase, please contact us at development@nirhealth.org.
Your partnership enables us to continue our efforts to change public policy and push forward in pursuit of a society in which everyone has the freedom and ability to control their reproductive and sexual lives.

Ticket Level		Quantity
Champion Tables ($100,000)		`Number of Champion Tables tickets ($100,000 each)`
Trailblazer Table ($50,000)		`Number of Trailblazer Table tickets ($50,000 each)`
Illuminary Table ($25,000)		`Number of Illuminary Table tickets ($25,000 each)`
Visionary Table ($15,000)		`Number of Visionary Table tickets ($15,000 each)`
Defender Table ($10,000)		`Number of Defender Table tickets ($10,000 each)`
Advocate Ticket ($1,500)		`Number of Advocate Ticket tickets ($1,500 each)`
Partner Ticket ($1,000)		`Number of Partner Ticket tickets ($1,000 each)`
Activist Ticket (for those 30 and under) ($325)		`Number of Activist Ticket (for those 30 and under) tickets ($325 each)`
Gold Journal Ad ($5,000)		`Number of Gold Journal Ad tickets ($5,000 each)`
Silver Journal Ad ($2,500)		`Number of Silver Journal Ad tickets ($2,500 each)`
Bronze Journal Ad ($1,500)		`Number of Bronze Journal Ad tickets ($1,500 each)`
Supporter Journal Ad ($500)		`Number of Supporter Journal Ad tickets ($500 each)`
Event Donation (Optional)
TOTAL: $0		QTY: 0

Additional Information

Please Select How Your Gift Will Be Designated

National Institute for Reproductive Health (Contributions are tax deductible) NIRH Action Fund (Contributions are non-tax deductible) Split my gift 50/50

For table sponsors: How would you like to be listed in published event materials? (Optional)

If applicable, please list your guests' names below. (Optional)