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> PLATINUM SPONSORSHIP
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Platinum Sponsorship Registration
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Contact Name:
*
First
Last
Contact Email Address:
*
Name of Sponsoring Company/Organization:
*
Company Phone:
*
Cell Phone:
*
Address:
*
City / State / Zip Code:
*
Country:
A PLATINUM Sponsorship is $4,000. Select Your Preferred Payment Option:
*
--- Select Choice ---
Platinum (Full) - $4,000.00
Platinum (50%) - $2,000.00
You may either pay in full today, or pay 50% (the remaining 50% will be billed to you by Dec. 1.)
ERA would like to use your company logo for Conference marketing purposes and to highlight your company as a sponsor. Please check the option below that applies to your company logo.
*
Please use the same logo you have on file, that has been used in previous years.
My company is a NEW sponsor and will be submitting a new logo.
My company has sponsored before, but I will be submitting a new or updated logo.
If you are submitting a new company logo (see the above question), please upload it below in PNG or JPG form:
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A PLATINUM Sponsorship allows your company 2 complimentary Conference registrations. Please list your 2 attendees below. (If you don't know all of the attendee names yet, please put "TBA" for the names not known.)
ATTENDEE 1 - Full Name:
*
First
Last
ATTENDEE 1 - Email Address:
*
ATTENDEE 1 - Phone:
*
ATTENDEE 1 - Title/Role:
*
ATTENDEE 1 - Estimated # of Years in Industry:
*
ATTENDEE 2 - Full Name:
First
Last
ATTENDEE 2 - Email Address:
ATTENDEE 2 - Phone Number:
ATTENDEE 2 - Title/Role:
ATTENDEE 2 - Estimated # of Years in Industry:
Total
$0.00
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Please note: The main contact email address given above will receive an electronic receipt. Check your spam folder if you are unable to locate the receipt in your inbox.
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