GEAR UP for Midyear
GEAR UP for Midyear August 23-25, 2017 Louisville Marriott Downtown, Louisville, Kentucky
2017 Midyear Meeting Sponsorship Commitment Form Note: There may be multiple sponsors per item.
Lunch Buffet Sponsorship Amount: $500 - $1,000
• • •
Wednesday, August 23 Thursday, August 24 Friday, August 25
Yes! My company would like to sponsor a lunch
Breakfast Buffet Sponsorship Amount: $500 - $1,000
• •
Thursday, August 24 Friday, August 25
Yes! My company would like to sponsor a breakfast
ATSSA Reception Sponsorship Amount: $1,000
•
Thursday, August 24
Yes! My company would like to be a reception sponsor
Refreshment Break Sponsorship Amount: $300 – 500
• • •
Wednesday, August 23 Thursday, August 24 Friday, August 25
Yes! My company would like to sponsor a refreshment break
Name:_______________________________ Company:______________________________________ Phone:_______________________________ Email:_________________________________________ Sponsorship Amount: $_________________ Please charge my:
Visa
MasterCard
Check enclosed (Payable to ATSSA) American Express
Cardholder Name:______________________________________________ Exp. Date:______________ Card #:___________________________________Signature:________________________________ Return the completed form with payment information no later than July 18, 2017 to: ATSSA, 15 Riverside Parkway, Suite 100, Fredericksburg, VA 22406 Email Email: [email protected] Direct: 540-376-3864 Fax: 540-368-1717
Form
NOTE: Donations to the American Traffic Safety Services Association are not deductible as charitable expenses for federal income tax purposes. However, they may be deductible as ordinary and necessary business expenses.
ATSSA very much appreciates the generosity of its members in serving as Midyear sponsors!
2017 Midyear Meeting Sponsorship Commitment Form Note: There may be multiple sponsors per item.
Lunch Buffet Sponsorship Amount: $500 - $1,000
• • •
Wednesday, August 23 Thursday, August 24 Friday, August 25
Yes! My company would like to sponsor a lunch
Breakfast Buffet Sponsorship Amount: $500 - $1,000
• •
Thursday, August 24 Friday, August 25
Yes! My company would like to sponsor a breakfast
ATSSA Reception Sponsorship Amount: $1,000
•
Thursday, August 24
Yes! My company would like to be a reception sponsor
Refreshment Break Sponsorship Amount: $300 – 500
• • •
Wednesday, August 23 Thursday, August 24 Friday, August 25
Yes! My company would like to sponsor a refreshment break
Name:_______________________________ Company:______________________________________ Phone:_______________________________ Email:_________________________________________ Sponsorship Amount: $_________________ Please charge my:
Visa
MasterCard
Check enclosed (Payable to ATSSA) American Express
Cardholder Name:______________________________________________ Exp. Date:______________ Card #:___________________________________Signature:________________________________ Return the completed form with payment information no later than July 18, 2017 to: ATSSA, 15 Riverside Parkway, Suite 100, Fredericksburg, VA 22406 Email Email: [email protected] Direct: 540-376-3864 Fax: 540-368-1717
Form
NOTE: Donations to the American Traffic Safety Services Association are not deductible as charitable expenses for federal income tax purposes. However, they may be deductible as ordinary and necessary business expenses.
ATSSA very much appreciates the generosity of its members in serving as Midyear sponsors!
