2023 SCABSE Sponsor Registration Credit Card Payments
Name of Company or Organization
*
Name of Representative
*
First Name
Last Name
Are you planning to attend the conference?
*
Yes
No
E-mail Address of Representative
*
Confirmation Email
example@example.com
Other than the representative, enter the email address of anyone else who should receive a copy of the receipt such as a bookkeeper or secretary.
Confirmation Email
example@example.com
Cell Phone Number of Representative
*
Company or Organization's Web Address
Company or Organization's Phone Number
Company or Organization's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Including this conference how many times has your company/organization been a sponsor?
1st time
2nd Time
3 or more times
Sponsors 2023
*
prev
next
( X )
Platinum Sponsor Level
▪ Reserved seating at the event▪ Registration for four representatives ▪ Logo will be displayed on website for one year▪ Recognition as a sponsor on social media outlets▪ Recognition as a Platinum Sponsor during the conference ▪ Promotional insert in conference booklet▪ Opportunity to market company product (free table in prime real estate area of conference traffic)▪ Early access and one use of the pre-registration list (Email addresses only)▪ One use of the post-registration list (Email addresses only)
$
5,000.00
Gold Sponsor Level
▪ Logo displayed on website for one year▪ Recognition as a sponsor on social media outlets▪ Registration for two representatives▪ Recognized as a sponsor during conference▪ Opportunity to market company product (free table)▪ One use of post-registration list (Email addresses only)
$
2,500.00
Sliver Sponsor Level
▪ Logo displayed on sponsor page of website for one year ▪ Recognition as a sponsor through social media outlets ▪ Recognition as a sponsor during conference
$
1,000.00
Bronze Sponsor Level
▪ Recognition as a sponsor during conference
$
500.00
Additional Lunch Ticket
Th following lunch tickets come with registration: 4 for Platinum, 2 for Gold, 1 for Silver, and 1 for Bronze. If needed, indicate the number of additional lunch tickets you would like.
$
35.00
Quantity
1
2
3
4
5
Additional Table
One table comes with the registration. If needed, indicate the number of additional tables you would like.
$
50.00
Quantity
1
2
3
4
5
Electricity
Purchasing electricity will ensure your district table is placed near an outlet.
$
50.00
Submit
Pay with Credit Card
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Should be Empty: