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CONTACT INFORMATION

Organization:

Person to contact:

Address:

City:

State: Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Phone:
(XXX) XXX-XXXX or XXX-XXX-XXXX

Fax:
(XXX) XXX-XXXX or XXX-XXX-XXXX

Email:

PICK YOUR SPONSORSHIP PACKAGE (Sponsorship Packet Download):

Sponsor Level: None Platinum – $25,000 Opening Reception – $10,000 Gold – $10,000 Décor – $8,500 Internet Café – $8,500 Tote Bag – $5,000 Conference Signage – $5,000 Silver – $5,000 Snack – $3,000 Bronze – $2,500 Exhibitor – $500 Sponsor a Friend – $500 (side-by-side comparison)

OTHER SPONSORSHIP OPTIONS:

Purchase advertisement in program No advertising purchase Single line (50 characters) $20.00 1/8 Page $150.00 1/4 Page $250.00 1/2 Page $450.00 Full Page $800.00

Donation to the stipend fund: None $500.00 $1,000.00 $5,000.00 $10,000.00

Sponsor conference costs: None $2,500.00 $5,000.00 $10,000.00 $15,000.00
(meals, speaker costs, entertainment functions)

Sponsor accessory costs: None $100.00 $200.00 $500.00 $1,500.00
(T-shirts, hats, posters)