Essential Evidence Update Sponsorship/Exhibit Form
Please fill in the form below.
April 5-6 at University of Illinois at Peoria and/or April 12-13 at UIC in Chicago
Tax ID #: 36-2150319
Full Name
*
Prefix
First Name
Last Name
Company Name
Company
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Company/Organization website address
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of
Name of event attendee (if different)
Name for badge at conference
Choose your opportunity
Exhibitor/Supporter - Peoria ($1,000)
Friend (no exhibit) - Peoria ($500)
Exhibitor/Supporter - Chicago ($1,000)
Friend (no exhibit) - Chicago ($500)
Total support cost (add items checked above)
Choose your payment method
*
Mail a check payable to IAFP: 747 E. Boughton Road, Suite 253 Bolingbrook, IL 60440
Please email an invoice to me
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