Sponsorship/Exhibitor Sign-up Form

* denote required fields

COORDINATOR INFORMATION:

First Name:*
Last Name:*
Title:*
Department:*
Address:*
 
City:*
State/Province:*
Country:*
Postal Code:*
Phone:*
Fax:
E-mail Address:*

COMPANY INFORMATION:

Organization Name:*
(Exact Listing of Organization Name as it should be listed in conference printed materials and signs)
 
Type of Organization*
Web Address:
 
Check box if all contact infomation below is the same as the above coordinator information.
 
Address:
 
City:
State/Province:
Country:
Postal Code:
Phone:
Fax:
 
Company Description:
(Maximum 50 words)

SPONSORSHIP OPPORTUNITIES:

Categories No. of Items Amount each
Platinum Sponsorship
(includes one exhibit booth and 2 technology track presentations)
more details		 For profit: US $22,000
Not for profit: US $15,500
Gold Sponsorship
(includes one exhibit booth and 1 technology track presentation)
more details		 For profit: US $13,500
Not for profit: US $8,000
Silver Sponsorship
(One technology track presentation, does not include an exhibit booth)
more details		 For profit: US $7,000
Not for profit: US $4,500
Exhibit booth For profit: US $3,500
Not for profit: US $2,500
Industry Poster For profit: US $1,000
Not for profit: US $500

OTHER SUPPORT:

Categories No. of Items Amount each
Delegate Bags US $10,000
Gala Dinner US $15,000
Conference T-Shirts US $10,000
Opening Reception US $10,000
Poster Session US $6,000
Refreshment Break US $3,000
Keynote Speakers US $4,000
Name Badge Lanyards US $3,000
Volunteer t-shirts US $3,000
Inclusion of Marketing Materials in Delegate Bags US $2,000
Keynote Speaker US $4,000
Student Travel Fellowship US $1,500
Other Donation   US $.00