CANOPY Sponsorship Sign-Up Form

CANOPY: Forests + Markets + Society Sponsorship Sign-Up Form
Sponsoring company *
Full Name *
Email Address *
Mailing Address 1 *
Mailing Address 2
City *
State *
Zip Code *
Country *
Phone *
Today's Date*

MonthDayYear
Date
Primary contact person to provide Corporate description, Logos, Sponsor ads - if different from above
Email Address
Sponsorship Level*

Classic Sponsorship $5,500Title Sponsorship $10,000
Do you acknowledge and accept the terms of the sponsorship cancellation and refund policy?*

Yes
Select billing option*

Pay by invoicePay by credit card

My Products*

Classic Sponsorship

$5,500.00

Title Sponsorship

$10,000.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

CANOPY: Forests + Markets + Society Sponsorship Sign-Up Form