REPOSITIONED CONFERENCE SPONSORSHIP FORM

REPOSITIONED CONFERENCE SPONSORSHIP FORM
Sponsor's Name
(Business, Organization or Individual)
Name of Contact Person

First NameLast Name
Title
E-mail
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Date

MonthDayYear
Date
Please select the sponsorship level that best aligns with your support:*

Gold Sponsor - $800Silver Sponsor - $500Hospitality Sponsor - $400Music Sponsor - $400Segment sponsor- $400Refreshment Sponsor- $400Display Table $130Media Sponsor $400Other Sponsor-any amount
Please provide a high-resolution company logo for inclusion in event materials.

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Additional Comments or Requests:
Sponsor Agreement:

By submitting this form, the sponsor agrees to the terms outlined in the sponsorship levels and commits to providing the selected sponsorship amount MBMI reserves the right to allocate benefits based on the sponsorship level and payment received.

SPONSORSHIP DEADLINES

The deadline for receipt of Sponsorship funds is October 30th.
For further information regarding sponsorship, please email marieberbick@gmail.com or telephone 1 516-601-4175.

PAYMENT

If you need assistance to submit a sponsorship payment, please email repositionedconference@gmail.com or marieberbick@gmail.com Place "sponsorship payment" in the subject line.

Thank you so much for your kind support of this empowering conference. We look forward to working with you.
Payment Information:

Zelle 516-601-4175Cashapp $MarieBerbickPaypal.me/revmarieberbickOther
Authorized Signature:

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Date Signed

MonthDayYear
Date
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