Sponsorship Registration Form: Printable Format
Ignite
Hampton Roads
Friday, May 30th (9:00 am - 3:30 pm) Organization/Company: _______________________________________________________ Name(s) of Authorizing Sponsor ________________________________________________ Title: ______________________________________________________________________ Address: __________________________________________________________________ City __________________________ State_______ Zip __________________ Phone: ___________________ Fax: ________________ E-mail_______________________ Check one: (Scroll down to read a more complete overview of sponsorship options below) Platinum Sponsorship ($1,500) Gold Sponsorship ($1,000) Silver Sponsorship ($500) Bronze Sponsorship ($250) In-Kind Sponsorship valued at $__________________________________________ Description of In-Kind Sponsorship _______________________________________ Authorized Signature: ____________________________ Date: __________________ Return this form and payment by Friday, May 26th, 2008. Make checks payable to: CIOCED Mail Local Office: CIOCED/Ignite Hampton Road, 41 Tide Mill Lane, Hampton, VA 23666 For Credit Card Payments: Fax this form, with credit card information to: 757-827-7454 Visa_________ Master Card__________ Discover __________ American Express_________ Card Number:_________________________________________ Expiration Date:__________ Signature: ___________________________________________ Date: ___________________ For additional sponsorship information, contact: Ashaunda Davis Davis: 757-827-1257 or email to: IHR5308@aol.com _________________________________________________________________ CORPORATE SPONSORSHIP OPPORTUNITIES Platinum Sponsorship ($1,500)
Reserved Conference Seating for 20 People Gold Sponsorship ($1,000)
Reserved Conference Seating for 10 People Silver Sponsorship ($500)
Reserved Conference Seating for 6 People Bronze Sponsorship ($250)
Reserved Conference Seating for 4 People
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