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Sponsorship Levels
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$5,000
-
Platinum Sponsor (6 Tickets)
$2,500
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Gold Sponsor (4 Tickets)
$1,000
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Silver Sponsor (2 Tickets)
$250
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Honorary Committee Member (1 Ticket)
$
Company/Organization Name (if applicable)
Contact Information
Primary Contact Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Phone number
Names and email addresses of all attendees. If unknown at this time, type "UNK" and we will contact you for this information at a later date.
*
Attach logo (if applicable)
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