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2. INSTRUCTIONS

   The 2026 Black History Month theme is "A Century of Black History Commemoration," celebrating the 100th anniversary of Black History Month.

   To confirm your commitment to Sterling Heights African American Coalition (SHAAC) 3rd Annual Black History Month dinner, please complete and submit the form below. ALL PROGRAM BOOK ADS ARE DUE BY FEB. 9, 2026. ALL PAYMENTS ARE DUE BY MONDAY, FEB. 16, 2026.

   Paper check/cash payments can ONLY be accepted at:

   Sterling Heights City Hall - Community Relations
   40555 Utica Road, Sterling Heights, MI  48313
   M-F, 8:30 am - 5 pm

   Online payment, please visit: https://client.pointandpay.net/web/CityofSterlingHeightsCRMIOnline and include "BHM Dinner 2026" and what you are purchasing (sponsorship level, program book ad size, etc.) in the description box.

   Please upload your hi-res logo and, if ready, your hi-res program book ad art (preferably in .png format) below. If not yet ready, please email to mdavis@sterlingheights.gov by Feb. 16, 2026.

   NOTE: Sponsorship benefits CANNOT be fulfilled until both the confirmation form and payment are received.

   Questions? Call Community Relations at 586.446.2470.

4. Sponsorship / Investment Level*

   1. Presenting - $3,000
   2. Gold - $2,000
   3. Silver - $1,000
   4. Table Sponsor - $600
   5. Full Page Ad - $250
   6. Half Page Ad - $100
   7. Quarter Page Ad - $50
5. Number of Add-On Tickets Purchased at $45 each
7. Full Name*
8. Phone*
9. Email*
11. Street Address*
12. ZIP Code*
14. Company*
16. Title
18. Email*
19. Mobile Number*
21. Method of Payment*

    1. Check (submitted at City Hall)
    2. Electronic Check
    3. Credit Card (2.8% processing fee)
    4. Cash (submitted at City Hall)
23. Hi-Res Logo

    Please upload your hi-res logo, preferably in .png format.

24. Hi-Res Program Book Ad

    If ready, please upload your hi-res program book ad, preferably in .png format.

Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field