Name(s) for Recognition * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Contact Name * First Last * Last Organization (if applicable) Contact Email * Contact Phone Number * Sponsorship Levels Champion Sponsor – $5,000 4 Teams of 4 – 6 Individuals per Team with Team Registration Benefits Logo on Center Experience Sponsors Page on The Center Website Recognition at Center Experience Company Recognition on The Center’s Social Media Logo on the Goodie Bags Placement of Promotional Items in Goodie Bags Logo on T-shirts Inclusion Sponsor – $2,500 2 Teams of 4 – 6 Individuals per Team with Team Registration Benefits Logo on Center Experience Sponsors Page on The Center Website Company Recognition on The Center’s Social Media Logo on the Goodie Bags Placement of Promotional Items in Goodie Bags Logo on T-shirts Awareness Sponsor – $1,500 1 team of 4–6 Individuals plus Team Registration Benefits Logo on Center Experience Sponsors page on The Center website Company Recognition on The Center’s Social Media Logo on the Goodie Bags Placement of Promotional Items in Goodie Bags Sponsorship Level * Champion SponsorInclusion SponsorAwareness Sponsor Sponsorship Total * Credit Card If you are human, leave this field blank.
