SPONSORSHIP ORDER FORM
COMPANY INFORMATION (Please complete)
Company Name (Please list company information as it should appear in printed materials and on the booth/table ID sign)
Contact
Title
Email
Telephone
Address
City
State/Province
Zip/Postcode
Country
SPONSORSHIP OPPORTUNITIES | 2015 Annual Meeting Only
Please indicate your sponsorship selection(s)
TOTE BAG: $14,500 | Exclusive SOLD
LEADERSHIP RECEPTION: $3,500 | Limit 2 Sponsors SOLD
PADFOLIO: $13,500 | Exclusive
BADGE: $2,995 | Exclusive SOLD
WIRELESS INTERNET: $10,000 | Exclusive SOLD
TOTE BAG INSERT: $2,650 | Limit 4 Sponsors (3 LEFT)
LANYARD: $7,000 | Exclusive SOLD
REFRESHMENTS: $3,250 | Limit 3 Sponsors
HOTEL KEY CARD: $6,750 | Exclusive SOLD
BOOKSTORE DRAW: $1,995 | Exclusive
5K RUN: $5,000 | Exclusive SOLD
MEMBERSHIP BREAKFAST: $1,800 | Limit 4 Sponsors (2 left)
MOBILE CHARGING STATION: $4,750 | Exclusive
LUNCH: $1,800 | Limit 2 Sponsors SOLD
TUESDAY NIGHT PARTY: $4,500 | Limit 4 Sponsors (3 left)
EXHIBIT HALL GIVEAWAY: $1,750 | Limit 10 Sponsors SOLD
WELCOME RECEPTION: $4,500 | Limit 2 Sponsors
TUESDAY NIGHT PARTY PRIZE: $1,250 | Limit 6 Sponsors
ISPE SALES CONTACTS
Alisa Pachella
Account Manager
Tel: +1-813-739-2274
apachella@ispe.org
Diane Munda
Sales Coordinator
Tel: +1-813-960-2105, Ext. 399
dmunda@ispe.org
Robin Lane
Sales Coordinator
Tel: +1-813-960-2105, Ext. 235
rlane@ispe.org
PAYMENT METHOD
Orders will not be accepted without payment information.
CHECK: Please make checks payable to: ISPE
Check #
enclosed payable to ISPE in the amount of $
(must be in US Dollars, drawn on a US Bank)
CREDIT CARD:
Card Type:
VISA
MASTERCARD
AMEX
Total Amount: $
Cardholder Name: (As it appears on card)
Credit Card Number:
Expiration Date:
Cardholder Signature:
AUTHORIZATION
AUTHORIZED REPRESENTATIVE (Please print)
SIGNATURE
Return this completed form with payment to ISPE headquarters:
ISPE Headquarters
600 N. Westshore Blvd., Suite 900 | Tampa, Florida 33609 USA
Tel: +1-813-960-2105 | Fax: +1-813-739-2288 | FEI #59-2009272
DATE