{"id":4409,"date":"2024-04-17T11:57:46","date_gmt":"2024-04-17T15:57:46","guid":{"rendered":"https:\/\/unitedhospiceinc.org\/?post_type=tribe_events&#038;p=4409"},"modified":"2024-12-11T11:37:52","modified_gmt":"2024-12-11T16:37:52","slug":"annual-gala-2024","status":"publish","type":"tribe_events","link":"https:\/\/unitedhospiceinc.org\/es\/event\/annual-gala-2024\/","title":{"rendered":"Gala anual de United Hospice"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#00A7B5&#8243; da_disable_devices=&#8221;off|off|off&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6ImV2ZW50IHwgIiwiYWZ0ZXIiOiIifX0=@&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.16&#8243; _dynamic_attributes=&#8221;title&#8221; _module_preset=&#8221;default&#8221; header_level=&#8221;h1&#8243; header_font=&#8221;Baskervville||||||||&#8221; header_text_align=&#8221;left&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;50px&#8221; header_line_height=&#8221;1.2em&#8221; header_text_align_tablet=&#8221;center&#8221; header_text_align_phone=&#8221;&#8221; header_text_align_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;32px&#8221; header_font_size_phone=&#8221;&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; custom_css_blurb_title=&#8221;text-transform:lowercase;&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; da_disable_devices=&#8221;off|off|off&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.25.0&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#00A7B5&#8243; header_font_size=&#8221;55px&#8221; header_2_text_color=&#8221;#00a7b5&#8243; custom_margin=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>&#8220;A Night in the Catskills&#8221;<\/strong><\/p>\n<p>Join us as we come together to celebrate and support our mission to <strong>Honor Life, Give Care, and Bring Comfort<\/strong>.\u00a0 With comedy by Larry Weiss, Howard Hellman, and Mark Giller, this year&#8217;s gala promises an unforgettable night of laughs and entertainment while paying tribute to our neighbors and long time supporters who have made a contribution to our community.<\/p>\n<p>Held each year in October, our Annual Gala raises awareness and much needed funds for United Hospice. Your participation makes a difference! Register\/Sponsor now to join us for a great evening of fun.<\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;#register&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;Click Here for Sponsorships, Tickets and to Donate&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;30px||30px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;a95d1291-4312-4432-b9f9-e0f5149ec6ad&#8221; text_text_color=&#8221;#474747&#8243; text_font_size=&#8221;21px&#8221; text_line_height=&#8221;1.3em&#8221; header_line_height=&#8221;1.2em&#8221; header_2_text_color=&#8221;#00A7B5&#8243; header_2_font_size=&#8221;32px&#8221; header_2_line_height=&#8221;1.3em&#8221; header_3_text_color=&#8221;#01426A&#8221; header_3_font_size=&#8221;24px&#8221; header_3_line_height=&#8221;1.3em&#8221; custom_margin=&#8221;||30px||false|false&#8221; header_3_font_size_tablet=&#8221;24px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\"><strong>Our 2024 Awardees<\/strong><\/h2>\n<h3 style=\"text-align: center;\"><strong>Community Service Award<\/strong><\/h3>\n<p style=\"text-align: center;\">David G Schwartz<\/p>\n<h3 style=\"text-align: center;\"><strong>Dr. George Robert Cox Legacy Award<\/strong><\/h3>\n<p style=\"text-align: center;\">Reverend William Cosgrove<br \/><em>Saint Augustine Church<\/em><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.25.0&#8243; _module_preset=&#8221;a95d1291-4312-4432-b9f9-e0f5149ec6ad&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">For more information or to find out how to get involved in the United Hospice Annual Gala, please contact our Development Team at 845-634-4974 or email <\/span><a href=\"mailto:development@unitedhospiceinc.org\"><span style=\"font-weight: 400;\">development@unitedhospiceinc.org<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/unitedhospiceinc.org\/wp-content\/uploads\/2024\/04\/gala-2024-2.jpg&#8221; alt=&#8221;A Night in the Catskills &#8211; United Hospice Gala 2023 invitation&#8221; title_text=&#8221;gala-2024-2&#8243; _builder_version=&#8221;4.25.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;|10px||10px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;register&#8221; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/es\/wp-json\/wp\/v2\/tribe_events\/4409' data-formid='5' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdtafgqAAAAAACPK07hJsupFYCVThy5OilX4nB8' data-tabindex='0'><input id=\"input_baf6c8a8d9651f63d56494042fa96ab9\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_baf6c8a8d9651f63d56494042fa96ab9\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_6\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your Information<\/h3><\/div><fieldset id=\"field_5_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_1'>\n                            \n                            <span id='input_5_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_5_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_5_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_5_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_5_4' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'>Company\/Organization<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_27\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_27' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_27_1_container' >\n                                        <input type='text' name='input_27.1' id='input_5_27_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_27_1' id='input_5_27_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_27_2_container' >\n                                        <input type='text' name='input_27.2' id='input_5_27_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_27_2' id='input_5_27_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_27_3_container' >\n                                    <input type='text' name='input_27.3' id='input_5_27_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_27_3' id='input_5_27_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_27_4_container' >\n                                        <select name='input_27.4' id='input_5_27_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_5_27_4' id='input_5_27_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_27_5_container' >\n                                    <input type='text' name='input_27.5' id='input_5_27_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_27_5' id='input_5_27_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_27.6' id='input_5_27_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Sponsorship Opportunities<\/h3><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_8 gfield_product_5_8 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_8_1'><span class=\"gform-field-label gfield_label_product\">Title Sponsor<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_8.1' value='Title Sponsor' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_8' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_8'>$15,000.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_8.2' id='ginput_base_price_5_8' class='gform_hidden' value='$15,000.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_8_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_8.3' value='' id='input_5_8_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Title Sponsor\" aria-describedby=\"ginput_product_price_5_8 gfield_description_5_8\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_5_8'><ul>\n<li>Reserved Seating for 2 tables of 12 guests<\/li>\n<li>Double Page Color Tribute in Journal<\/li>\n<li>Company name listed as Title Sponsor in Journal<\/li>\n<li>Company logo featured as Title Sponsor in social media post<\/li>\n<li>Company logo featured on event website\n<li>Company logo on tables<\/li>\n<li>Opportunity to speak at Gala<\/li>\n<\/u\/><\/div><\/div><div id=\"field_5_10\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_10 gfield_product_5_10 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_10_1'><span class=\"gform-field-label gfield_label_product\">Platinum Sponsor<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_10.1' value='Platinum Sponsor' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_10' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_10'>$10,000.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_10.2' id='ginput_base_price_5_10' class='gform_hidden' value='$10,000.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_10_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_10.3' value='' id='input_5_10_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Platinum Sponsor\" aria-describedby=\"ginput_product_price_5_10 gfield_description_5_10\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_5_10'><ul>\n<li>Reserved Seating for 1 table of 12 guests<\/li>\n<li>Full Page Cover Position Color Ad in Journal<\/li>\n<li>Company name listed as Platinum Sponsor in Journal<\/li>\n<li>Company logo featured as Platinum Sponsor in social media post<\/li>\n<li>Company logo featured on event website\n<li>Company logo on tables<\/li>\n<\/u\/><\/div><\/div><div id=\"field_5_11\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_11 gfield_product_5_11 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_11_1'><span class=\"gform-field-label gfield_label_product\">Gold Sponsor<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_11.1' value='Gold Sponsor' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_11' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_11'>$7,500.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_11.2' id='ginput_base_price_5_11' class='gform_hidden' value='$7,500.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_11_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_11.3' value='' id='input_5_11_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Gold Sponsor\" aria-describedby=\"ginput_product_price_5_11 gfield_description_5_11\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_5_11'><ul>\n<li>VIP Seating for 10 guests<\/li>\n<li>Full Page Color Ad in Journal<\/li>\n<li>Company logo featured as Gold Sponsor in social media post<\/li>\n<li>Company name listed as Gold Sponsor in Journal<\/li>\n<\/u\/><\/div><\/div><div id=\"field_5_12\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_12 gfield_product_5_12 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_12_1'><span class=\"gform-field-label gfield_label_product\">Silver Sponsor<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_12.1' value='Silver Sponsor' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_12' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_12'>$5,000.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_12.2' id='ginput_base_price_5_12' class='gform_hidden' value='$5,000.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_12_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_12.3' value='' id='input_5_12_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Silver Sponsor\" aria-describedby=\"ginput_product_price_5_12 gfield_description_5_12\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_5_12'><ul>\n<li>VIP Seating for 8 guests<\/li>\n<li>Half Page Color Ad in Journal<\/li>\n<li>Company name listed as Silver Sponsor in social media post<\/li>\n<li>Company name listed as Silver Sponsor in Journal<\/li>\n<\/u\/><\/div><\/div><div id=\"field_5_13\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_13 gfield_product_5_13 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_13_1'><span class=\"gform-field-label gfield_label_product\">Bronze Sponsor<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_13.1' value='Bronze Sponsor' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_13' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_13'>$2,500.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_13.2' id='ginput_base_price_5_13' class='gform_hidden' value='$2,500.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_13_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_13.3' value='' id='input_5_13_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Bronze Sponsor\" aria-describedby=\"ginput_product_price_5_13 gfield_description_5_13\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_5_13'><ul>\n<li>VIP Seating for 6 guests<\/li>\n<li>Quarter Page Color Ad in Journal<\/li>\n<li>Company name listed as Bronze Sponsor in social media post<\/li>\n<li>Company name listed as Bronze Sponsor in Journal<\/li>\n<\/u\/><\/div><\/div><div id=\"field_5_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Journal Ads<\/h3><\/div><div id=\"field_5_15\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_15 gfield_product_5_15 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_15_1'><span class=\"gform-field-label gfield_label_product\">Full Page Black &amp; White<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_15.1' value='Full Page Black &amp; White' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_15' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_15'>$1,000.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_15.2' id='ginput_base_price_5_15' class='gform_hidden' value='$1,000.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_15_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_15.3' value='' id='input_5_15_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Full Page Black &amp; White\" aria-describedby=\"ginput_product_price_5_15\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_5_16\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_16 gfield_product_5_16 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_16_1'><span class=\"gform-field-label gfield_label_product\">Half Page Black &amp; White<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_16.1' value='Half Page Black &amp; White' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_16' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_16'>$750.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_16.2' id='ginput_base_price_5_16' class='gform_hidden' value='$750.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_16_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_16.3' value='' id='input_5_16_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Half Page Black &amp; White\" aria-describedby=\"ginput_product_price_5_16\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_17 gfield_product_5_17 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_17_1'><span class=\"gform-field-label gfield_label_product\">Quarter Page Black &amp; White<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_17.1' value='Quarter Page Black &amp; White' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_17' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_17'>$500.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_17.2' id='ginput_base_price_5_17' class='gform_hidden' value='$500.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_17_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_17.3' value='' id='input_5_17_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Quarter Page Black &amp; White\" aria-describedby=\"ginput_product_price_5_17\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_5_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Tickets<\/h3><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gf-level-box gfield_price gfield_price_5_19 gfield_product_5_19 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_5_19_1'><span class=\"gform-field-label gfield_label_product\">Ticket to the Gala<\/span> <span class=\"screen-reader-text\">Choose your Quantity:<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_19.1' value='Ticket to the Gala' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_5_19' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_5_19'>$250.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_19.2' id='ginput_base_price_5_19' class='gform_hidden' value='$250.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_5_19_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Choose your Quantity:<\/label> <input type='number' name='input_19.3' value='' id='input_5_19_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Ticket to the Gala\" aria-describedby=\"ginput_product_price_5_19\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_5_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Donation<\/h3><\/div><div id=\"field_5_24\" class=\"gfield gfield--type-product gfield--input-type-price gfield--width-full gf-level-box gfield_price gfield_price_5_24 gfield_product_5_24 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_24'>I can&#039;t attend or I would like to make an additional donation<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_24' id='input_5_24' type='text' value='' class='small ginput_amount'    aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Payment Information<\/h3><\/div><div id=\"field_5_22\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_5_ gfield_total gfield_total_5_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_5_22'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_22' id='input_5_22' value='$0.00' class='gform-text-input-reset ginput_total ginput_total_5' \/>\n\t\t\t\t\t\t<\/div><\/div><fieldset id=\"field_5_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Please choose your payment type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_25'>\n\t\t\t<div class='gchoice gchoice_5_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Credit Card'  id='choice_5_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_0' id='label_5_25_0' class='gform-field-label gform-field-label--type-inline'>Credit Card<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Mail a Check'  id='choice_5_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_1' id='label_5_25_1' class='gform-field-label gform-field-label--type-inline'>Mail a Check<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_21\" class=\"gfield gfield--type-creditcard gfield--input-type-creditcard gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Credit Card Information<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_5_21'><span class='ginput_full gform-grid-col' id='input_5_21_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_5_21_supported_creditcards'>Supported Credit Cards: American Express, Discover, MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_21.1' id='input_5_21_1' value=''   onchange='gformMatchCard(\"input_5_21_1\");' onkeyup='gformMatchCard(\"input_5_21_1\");' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\n                                    <label for='input_5_21_1' id='input_5_21_1_label' class='gform-field-label gform-field-label--type-sub '>Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_5_21_2_container'>\n                                            <fieldset class='ginput_cardinfo_left gform-grid-col' id='input_5_21_2_cardinfo_left'>\n                                            <legend class='gform-field-label gform-field-label--type-sub '>Expiration Date<\/legend>\n                                                <span class='ginput_card_expiration_container ginput_card_field gform-grid-row'>\n                                                   <span class='ginput_card_expiration_month_container gform-grid-col'>\n                                                       <label for='input_5_21_2_month' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                                       <select name='input_21.2[]' id='input_5_21_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='true'  >\n                                                           <option value=''>Month<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                   <\/span>\n                                                   <span class='ginput_card_expiration_year_container gform-grid-col'>\n                                                       <label for='input_5_21_2_year' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                                       <select name='input_21.2[]' id='input_5_21_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='true'  >\n                                                           <option value=''>Year<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                   <\/span>\n                                                <\/span>\n                                            <\/fieldset><span class='ginput_cardinfo_right gform-grid-col' id='input_5_21_2_cardinfo_right'>\n                                                <input type='text' name='input_21.3' id='input_5_21_3'   class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_5_21_3' class='gform-field-label gform-field-label--type-sub '>Security Code<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_5_21_5_container'>\n                                            <input type='text' name='input_21.5' id='input_5_21_5' value=''    aria-required='false'  \/>\n                                            <label for='input_5_21_5' id='input_5_21_5_label' class='gform-field-label gform-field-label--type-sub '>Cardholder Name<\/label>\n                                        <\/span> <\/div><\/fieldset><div id=\"field_5_26\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Please make your check payable to <strong>United Hospice<\/strong> and mail to:<br \/><br \/>\nUnited Hospice<br \/>\nDevelopment Department<br \/>\n11 Stokum Lane<br \/>\nNew City, NY 10956<br \/>\n<\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' 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