ACT Sponsorship & Partnership Application
Building Your Future Workforce
Name
First Name
Last Name
Company Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
Sponsorship Levels
Diamond Corporate Sponsorship $4,000
Platinum Corporate Sponsorship $3,500
Gold Corporate Sponsorship $3,000
Silver Corporate Sponsorship $1,500
Membership Tiers
Contractor $750.00
Supporting Contractor $500.00
Associate $300.00
Membership Tiers Payment
*
Please Invoice Me
Pay By Credit Card
Membership Tiers - Credit Card Payment
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next
( X )
Contractor
$750.00
$
750.00
Supporting Contractor
$500.00
$
500.00
Associate
$300.00
$
300.00
Diamond Corporate Sponsorship
$4,000.00
$
4,000.00
Platinum Corporate Sponsorship
$3,500.00
$
3,500.00
Gold Corporate Sponsorship
$3,000.00
$
3,000.00
Silver Corporate Sponsorship
$1,500.00
$
1,500.00
Credit Card
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