Bronze Sponsorship Form

Company Name *
Company Name
Contact First Name *
First Name
Contact Last Name *
Last Name
Email *
Email
Primary Phone
Primary Phone
Username *
Username for access to the Members Pages. The Delegate will received "member" access to the website.
Password *
Password
Membership Level *
Sponsorship - Bronze
Delegate Name for Guest List (1)
Please indicate if they will attend in-person or via zoom and provide their email address
Option to set up a display table in lobby *
Yes
No
There are limited spaces available. If you indicate you would like to set up a table, we will confirm that we will have space for you.
Company Logo *
Please provide a logo for our sponsor site, event materials and website promotion
No file uploaded.
Short Company Bio *
Please provide a short company bio for our website.