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Corporate Partnership Enrollment Form

Company Identification:
Please provide the following information:

Name of Company*:
Address:
City:
State:    Zip:
FAX:
Chief Executive Officer:
Telephone:
E-Mail:
Web Site/URL:  The URL must start with http://
Logo*:
Description*:
 

Vice President of Marketing/Development

Name:
Title:
E-mail:
 

Partner Liaison with League: Please identify the corporate officer or person who is designated to serve as the principal liaison for the company and who will coordinate communication with the League office and be responsible for company participation in partnership activities.

Name:
Title:
Use Same Address As Above
Address:
City:
State:    Zip:
Telephone:
FAX:
E-mail*:
 

Exhibits Liaison with League: Please identify the exhibits coordinator or person who is designated to serve as the principal liaison for the company and who will coordinate communication with the League office and be responsible for company participation in League exhibitions.

Name:
Title:
Use Same Address As Above
Address:
City:
State:    Zip:
Telephone:
FAX:
E-mail:
 

Partnership Level/Annual Contribution

Please indicate any special arrangements that need to be made for the annual, tax-deductible contribution that partners make to support the partnership effort and provide a purchase order number if needed. Membership is for one year and begins the day the Partner Enrollment Form is received.

Special Arrangements:
Purchase Order Number:
 

Questions completing this form?

Contact Chris Hennessey at (480) 705-8200 x237