Agenda Sponsor Request Form
MEMBERS ONLY: Please use this form to be added to our interest list. Only $30, which goes to the scholarship fund.
Member Name
*
First Name
Last Name
Are you a member of NCWIN with your annual dues paid and current?
*
Yes
No (only available to members)
I am interested in becoming a member
NCWIN Membership Email Address
*
Please list the email that you receive NCWIN announcements at and that you sign into the NCWIN website with to register for events. That is your "Membership Email Address"
Have you sponsored an agenda in the last 6 months?
*
Yes
No
Which month would you like to sponsor the agenda (either list a couple preferred months or just type "soonest available")
*
Upload your headshot or logo to appear on the agenda.
*
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Best number to reach you at:
*
Membership will contact you at this number RE: your marketplace table request.
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