Sponsor Sign Up

2010 Out & Equal Workplace Summit Sponsor and Partner Opportunities

Thank you for your partnership in sponsoring the 2010 Out & Equal Workplace Summit to be held October 5-8 in Los Angeles, California.

Please complete this entire enrollment form, inserting N/A if a line does not apply to your company or sponsorship. If you have questions, please contact Sherrie Holmes at 415-694-6508 or sholmes@OutandEqual.org.

This form must be filled out online, all at one time. Once you press the button to submit the form to Out & Equal, a copy will be sent automatically to your email address.

Name of Company (as you want 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 company attendees
Exhibition Hall booth
Shipping

Alternative Contact #1

Contact Responsibility
Please indicate area(s) of responsibility for this additional contact person:

Name:

Title:

Email:

Business Phone:

Cell Phone:

Fax Number:

Mailing Address

Street:

Suite:

City:

State:

Zip:

Alternative Contact #2

Contact Responsibility
Please indicate area(s) of responsibility for this additional contact person:

Name:

Title:

Email:

Business Phone:

Fax Number:

Cell Phone:

Mailing Address

Street:

Suite:

City:

State:

Zip:

Alternative Contact #3

Contact Responsibility
Please indicate area(s) of responsibility for this additional contact person:

Name:

Title:

Email:

Business Phone:

Cell Phone:

Fax Number:

Mailing Address

Street:

Suite:

City:

State:

Zip:

Does your company or organization have a required proposal or application process for sponsorship?

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

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

Name:

Title:

Email:

Business Phone:

Cell Phone:

Fax Number:

Mailing Address

Street:

Suite:

City:

State:

Zip:

Additional comments about the proposal/application process:

Invoice Contact Information

Payment for sponsorship is net 30 of receipt of invoice, unless other arrangements are made. Also please note that Sponsors whose payment is received by March 31, 2010, receive 1 extra complimentary three-day Summit registration and logo in the official 2009 Workplace Summit invitations.

Is your invoice contact someone other than your primary contact?

Name:

Title:

Email:

Business Phone:

Cell Phone:

Fax Number:

Mailing Address

Street:

Suite:

City:

State:

Zip:

Sponsorship Level

[Exclusive positions]:

Platinum ($150,000) Awards Dinner host

[Limited] [Two available]:

[Several Available]:

Gold Strategic Partner ($55,000) Hosting a special event

[Unlimited]:

Champion ($25,000)

Advocate ($15,000)

[Available only to 501(c)(3) organizations]:

Friend ($5,000)

Other Custom Level Package

Custom Sponsorship Amount: $

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

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2010 Out & Equal Workplace Summit Sponsor and Partner Opportunities

Sponsorship Level