Nonprofit Sponsor Sign Up

Name of Agency or Organization (as the agency or organization wishes to be acknowledged): *

Primary Contact Info

Name: *

Title: *

Email: *

Business Phone: *

Cell Phone: *

Fax Number: *

Mailing Address

Street: *

Suite: *

City: *

State: *

Zip: *

Are there additional contact persons for specific follow up tasks, such as:

Secondary general contact
Assistant to primary contact
Logo
Ad for program book
Registration of agency or organization attendees
Exhibition Hall booth
Shipping

Does your agency or organization have a required proposal or application process for sponsorship:

Proposal Contact

If yes, please provide the URL for the guidelines or forms needed:

Contact person’s information for questions related to the proposal/application process

Mailing Address

Does your agency or organization have a specific invoice contact person, other than the primary contact:

Invoice Contact Information

Payment for sponsorship is net 30 of receipt of invoice, unless other arrangements are made.

Invoice Contact Information:

Name:

Title:

Email:

Business Phone:

Cell Phone:

Fax Number:

Mailing Address

Street:

Suite:

City:

State:

Zip:

Sponsorship Level

[Unlimited positions]: *

Public Sector Friends (Government only $5,000)

Community Friends (Community nonprofits only $5,000)

Sponsor Upgrades

Note: A copy of this form will be e-mailed to you. Thank you for your sponsorship commitment.

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This question is required to prevent automated spam submissions.

Math Question: * 1 + 1 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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Nonprofit Organizations and Government Agencies Sponsor Sign Up Form

Sponsorship Level

Sponsor Upgrades