2022 Sponsorship Form

PGRTSA Sponsorship Form 2022
Organization Name *
Organization Website *
Please upload a High Resolution copy of your Logo

Browse Files

Cancel of
Sponsorship Level *

Platinum Sponsor Gold Sponsor Bronze Sponsor
I would like to donate a representative spot as a scholarship in support of a nonprofit.

Yes No
Representative Name *

First Name Last Name
Representative Email *
example@example.com
Representative Title *
Representative Name *

First Name Last Name
Representative Email *
example@example.com
Representative Title *
Representative Name

First Name Last Name
Representative Email
example@example.com
Representative Title
I have a preference to make my presentation at the meeting on the below months. (check all that apply. The Sponsorship chair will be in touch with final approval)

January 12, 2022 February 2, 2022 March 2,2022 April 6, 2022 May 4, 2022 June 1, 2022 September 7, 2022 October 12, 2022 November 2, 2022
Email for confirmation *

Confirmation Email
Total
Payment Options *

Credit Card Check by mail

If you are having problems with the credit card form please select 'Check by mail' and use the comments section below to request a credit card invoice be sent to you.
If you need an invoice sent to you please select below. An invoice will automatically be emailed to you.

I need an invoice
Bill to *
Email to send Invoice *
Comments or questions
Date

Month Day Year
Date
Should be Empty:

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PGRTSA Sponsorship Form 2022