Public Safety Resiliency Summit-2022
SPONSOR REGISTRATION FORM Please fill out the top section of the form fully to indicate the level and type of sponsorship you would like. NOTE that payment can be made today or at a later date via check, purchase order, etc. Please mark which option is appropriate in the lower section of this form before hitting the SUBMIT Button.
Organization, Department, or Agency
Sponsorship Choice
Please Select
MEAL/LUNCH Sponsor $3000
Bag Sponsor $3000
T-Shirt Sponsor $2500
Challenge Coin Sponsor $2500
Water Bottle Sponsor $2000
Hospitality Night Sponsor $2000
Family Hospitality Sponsor $2000
Pen Sponsor $1000
Conference Lanyard Sponsor $750
Conference App Sponsor $500
Exhibitor/Vendor Booth/Table $500
Logo Advertisement $250
Donation
Point of Contact Name
First Name
Middle Name
Last Name
Email
example@example.com
Contact Number
LOGO or Other Document Upload
Browse Files
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Choose a file
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of
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Comments
PAYMENT OPTIONS- Please Choose One of the Options Listed Below
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Submit SPONSOR Registration with Future Payment Via Check, Credit Card, or Purchase Order
$
Free
Meal/LUNCH Sponsor
$3000
$
3,000.00
Bag Sponsor
$3000
$
3,000.00
T-Shirt Sponsor
$2500
$
2,500.00
Challenge Coin Sponsor
$2500
$
2,500.00
Water Bottle Sponsor
$2000
$
2,000.00
Hospitality Night Sponsor
$2000
$
2,000.00
Family Hospitality Sponsor
$2000
$
2,000.00
Pen Sponsor
$1000
$
1,000.00
Conference Lanyard Sponsor
$750
$
750.00
Conference App Sponsor
$500
$
500.00
Exhibitor/Vendor Booth
$500
$
500.00
Logo Advertisement
$250
$
250.00
Credit Card
Submit Application
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