Sponsor Application

Sponsor Form
Information
Business Name
Contact Person

First NameLast Name
Email
Phone Number
Format: (000) 000-0000.
Website
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Sponsorship Level
Sponsorship Level

Other
Registration
Will you be utilizing the conference registration?
Name of Person Registering

First NameLast Name
Email of Person Registering
example@example.com
Phone Number of Person Registering
Please enter a valid phone number.Format: (000) 000-0000.
Marketplace Booth
Will you be utilizing the conference marketplace booth?
Please fill out our Vendor Apllication HERE!
Will you send items to be placed on the networking table?
Please describe the materials you would like to send
Recognition
Please provide a brief synopsis of your organization that we can include in our program and on our website
Please provide a logo that you would like us to use

Cancelof
Many Thanks for your sponsorship! We are delighted that you will be partnering with us!

We will contact you with additional information.
Payment
Select Form of Payment
To pay by check, please send a check to the address below:

Midwest Women’s Herbal
PO Box 653
Stoughton WI 53589
Coupon Code
Subtotal
Total
Payment Total

prevnext( X )
USDDescription
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Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Sponsor Form