Western NY Energy Symposium Sponsor Registration Form

SPONSOR CONTRACT
Business Name:
Business Type:
Primary Contact Name:

First NameLast Name
Primary Contact Email Address
example@example.com
Primary Contact Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Additional Contact Name (to receive email correspondences):

First NameLast Name
Additional Contact Email Address
example@example.com
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NYSEIA Member:
Company Website Address (for hyperlink):
Company Logo
Please upload your company logo for promotional materials:
CHOOSE YOUR SPONSORSHIP LEVEL BELOW:
All Sponsorships include complimentary tickets to attend the event. Please register your complimentary attendees below. Registrants will receive an email confirmation that will include their personalized event ticket. DO NOT use the same email address for multiple attendees. Each registrant MUST have their own email address.
Complimentary Ticket #1

First NameLast Name
Email
example@example.com
Complimentary Ticket #2

First NameLast Name
Email
example@example.com
Complimentary Ticket #3

First NameLast Name
Email
example@example.com
Complimentary Ticket #4

First NameLast Name
Email
example@example.com
Complimentary Ticket #5

First NameLast Name
Email
example@example.com
Complimentary Ticket #6

First NameLast Name
Email
example@example.com
Complimentary Ticket #7

First NameLast Name
Email
example@example.com
Complimentary Ticket #8

First NameLast Name
Email
example@example.com
Please sign to accept the terms of this sponsorship.
Once we receive your submission, we will email you a confirmation and invoice accordingly. Please note that we will not secure sponsorships without full payment.
Should be Empty:

SPONSOR CONTRACT

Once we receive your submission, we will email you a confirmation and invoice accordingly. Please note that we will not secure sponsorships without full payment.