Conference Sponsorship Form

Conference Sponsorship Form

Pending approval
Event 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
Please select the sponsorship level that best aligns with your support:*

Platinum Sponsor - $6,000Gold Sponsor - $4,000Silver Sponsor - $2,000Donation
Please provide a high-resolution company logo for inclusion in event materials.

Cancelof
Brief description of company, products, and services: *
Sponsor Agreement:

By submitting this form, the sponsor agrees to the terms outlined in the sponsorship levels and UPON APPROVAL, commits to providing the selected sponsorship amount within three (3) days of notice. The organizer reserves the right to allocate benefits based on the sponsorship level and payment received.
Authorized Signature: *

Powered by Jotform SignClear
Date Signed*

MonthDayYear
Date
Additional comments/questions:
Please verify that you are human*
Should be Empty: