MIAMI District Sponsorship Application

MIAMI District Sponsorship Application

Please complete all of the fields below:
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Company Name *
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Areas of Interest for Exposure*

Golf TournamentNetworking LunchesPodcastsConference [Annual]Other
Conference Sponsorship Level of Interest (optional)

GrandPlatinumGoldSilverOther
Preferred Time of Year (optional)

Q1Q2Q3Q4Other
Are You a Returning Sponsor?*

YesNo
Additional Notes or Questions (optional)
If you have any questions, please contact:
Robert Palacios, MBA, CCIM
2025 Sponsorship Chair
Immediate Past President, CCIM Miami District
(305) 803-8665
rpalacios@regency-commercial.com

Tracy Kohn, CCIM
2025 President, CCIM Miami District
Sponsorship Co-Chair
(305) 438-1911
tracy@kohncommercial.com
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