Sponsor Form
Sponsor Form
Yes! I want to support the Land Trust Alliance as a sponsor of the 2016 Southeast Regional Land and Community Conservation Conference. Please return no later than March 25, 2016. Name Organization/Company Address Email
Phone
Please indicate your organization/firm’s name exactly as you wish to be acknowledged in conference materials: Complimentary Sponsor Registrations Lead – 10 complimentary registrations Patron – 6 complimentary registrations Benefactor – 4 complimentary registrations Supporter – 2 complimentary registrations Contributor – 1 complimentary registration
Circle sponsor option:
$10,000 and up $5,000-$10,000 $2,500-$4,999 $1,000-$2,499 $500 - $999
Lead Patron Benefactor Supporter Contributor
Yes, in addition to sponsorship indicated above, I would like to make a special gift dedicated exclusively to Conference scholarships of $____________. Yes, I will bring exhibit materials. Exhibit tables will be located near registration in BJCC. Being an exhibitor is an exceptional opportunity to increase your visibility and interaction with conference attendees. Please mail checks to: Land Trust Alliance - 1660 L St. NW, Suite 1100, Washington, DC 20036 Memo: Sponsorship for 2016 SE Regional Conference OR charge credit card (circle option below and provide card number). We will contact you directly for the names of staff/board members for your complimentary registrations. Visa Mastercard Discover American Express Card Number ____________________________________ Phone Number_________________ Expiration Date ______________ 3-digit Security Code (4 for AMEX) _____________________ Signature I pledge the amount
to be paid by Friday, March 25, 2016
Signature
Date
Please call/email questions and pledges to Kevin Brice, Southeast Director at [email protected]; (919) 827-0039
Yes! I want to support the Land Trust Alliance as a sponsor of the 2016 Southeast Regional Land and Community Conservation Conference. Please return no later than March 25, 2016. Name Organization/Company Address Email
Phone
Please indicate your organization/firm’s name exactly as you wish to be acknowledged in conference materials: Complimentary Sponsor Registrations Lead – 10 complimentary registrations Patron – 6 complimentary registrations Benefactor – 4 complimentary registrations Supporter – 2 complimentary registrations Contributor – 1 complimentary registration
Circle sponsor option:
$10,000 and up $5,000-$10,000 $2,500-$4,999 $1,000-$2,499 $500 - $999
Lead Patron Benefactor Supporter Contributor
Yes, in addition to sponsorship indicated above, I would like to make a special gift dedicated exclusively to Conference scholarships of $____________. Yes, I will bring exhibit materials. Exhibit tables will be located near registration in BJCC. Being an exhibitor is an exceptional opportunity to increase your visibility and interaction with conference attendees. Please mail checks to: Land Trust Alliance - 1660 L St. NW, Suite 1100, Washington, DC 20036 Memo: Sponsorship for 2016 SE Regional Conference OR charge credit card (circle option below and provide card number). We will contact you directly for the names of staff/board members for your complimentary registrations. Visa Mastercard Discover American Express Card Number ____________________________________ Phone Number_________________ Expiration Date ______________ 3-digit Security Code (4 for AMEX) _____________________ Signature I pledge the amount
to be paid by Friday, March 25, 2016
Signature
Date
Please call/email questions and pledges to Kevin Brice, Southeast Director at [email protected]; (919) 827-0039
