Sponsor Cheque/Invoice Payment Membership Form

Company Name *
Company Name
Contact First Name *
First Name
Contact Last Name *
Last Name
Email *
Email
Primary Phone
Primary Phone
Primary Address
Primary Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Username *
This will be used to access the Member Pages of the website. Permissions will be given to your delegate members.
Password *
Password
Membership Level *
Sponsor Chq/Invoice Form
Please choose which sponsorship you would like: *
Gold ($2500)
Silver ($1000)
Bronze ($500)
How will you be sending payment for sponsorship? *
Cheque
Invoice Required
e-transfer
Delegate Names for Guest List
Gold Sponsorship (3) Silver (2) Bronze (1)
Option to set up display table in lobby (limited availability)
Yes
No
This is available on a first come, first served basis. If you indicate you are interested, we will confirm with you that there is space available.
Company Logo
Please provide a logo for our sponsor site, event materials and website promotion (jpeg or png)
No file uploaded.
Short Company Description
Please provide a short company description for the AFIN website for Sponsor listings.