SPONSORSHIP LEVEL CONTRIBUTION
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I would like to participate as a Sponsor at the:
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Bronze Level ($3,500)
Silver Level ($6,000)
Gold Level ($15,500)
Platinum Level ($25,000)
Diamond Level (You will be contacted with details at this level)
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DESIGNATED CONTRIBUTION
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I would like to sponsor:
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Ground Transportation ($3,000)
Summit Program Materials ($6,500)
Post-Summit Policy Briefing ($8,500)
Speakers ($10,500)
The Luncheon Program ($12,500)
The VIP Welcoming Reception ($20,000)
Luncheon Table ($600/Table of 10)
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* Asterisked fields are required
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* First Name:
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Middle Initial:
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* Last Name:
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* Name of Sponsor:
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* Position/Title:
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* Work Address:
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* City:
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* State:
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* Zip:
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* Work Phone:
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Extension:
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* Fax:
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Cell:
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E-Mail:
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Assistant’s Name:
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Phone:
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E-Mail:
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* Best Number To Reach Me:
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* Best E-Mail To Reach Me:
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I wish to receive a VIID Sponsorship Invoice
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