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SPONSORSHIP REGISTRATION FORM

NOTE: All prices include hanging and removal, does not include production costs. Availability of all marketing items is based upon date of Co-Sponsorship Commitment Form.

Please confirm my commitment for the following Sponsorship level: (Please check one)

Sponsorship Level	Platinum Gold Silver Bronze Presenting Sponsor
Name of Company Representative
Position
Company Name
Address (full address please)
City
State
Country
Telephone
Fax
Payment Method	Cheque	Electronic Transfer	Other Method
Other Payment Method	(Please specify)
Accepted and Approved by:
Full Name
Authorizer's Position
Contact Email
Telephone
Compiled and Submitted by:
Full Name
Authorizer's Position
Contact Email
Telephone
Comments (if any)

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