Sponsorship Form

Sponsor Details

Sponsor / Organization Name *

Website

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Description

Logo

No file chosen

Sponsor Representative

Name *

Email Address *

Phone *

Sponsorship Levels

Bronze ($175)

• Mention in the Program on the List of Supporters Page or Business card advertisement
• Table provided to the vendor

Silver ($250)

• Quarter page advertisement in the program
• Mention on the website
• Table provided to the vendor

Gold ($600)

• Half page advertisement
• Mention on the website
• Table provided to the vendor
• 5 minute presentation during break-out sessions of the related cluster

Platinum ($1,000)

• Full page advertisement
• Mention on the website
• Table provided to the vendor
• 50 minute presentation session in the related cluster

Sponsorship Levels *

Total

$

Credit / Debit Card *