National Forum for Black Public Administrators
9th Annual National Leadership Awards Gala - July 12, 2012
"Building
a Leadership Legacy: Strategies Across Generations"
SPONSOR REGISTRATION FORM
Yes, my organization wants to be a proud sponsor of the 9th Annual National Leadership Awards Gala.
Name:
Title:
Organization:
Mailing Address:
City:
State:
Telephone: (
)
Fax: (
Zip:
)
E-mail Address:
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Please reserve my sponsorship for:
(Please check one)
□$15,000 AWARD SPONSOR
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□ $7,500 GOLD SPONSOR
Table for ten plus five additional table seats in a
prominent location
Prominent recognition on event correspondence
and event signage
Acknowledgement on NFBPA website and
newsletter
Full-page ad in Dinner Program
Access to NFBPA Leadership
Exclusive VIP reception – featuring corporate,
national government and Obama Administration
representatives
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Table for ten in a premium location
Prominent recognition on event correspondence
and event signage
Acknowledgement on NFBPA website and
newsletter
Half-page ad in Dinner Program
Access to NFBPA Leadership
Table for ten in a premium location
Prominent recognition on event correspondence
and event signage
Acknowledgement on NFBPA website and
newsletter
Half-page ad in Dinner Program
□ $5,000 SILVER SPONSOR
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□$10,000 PLATINUM SPONSOR
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Exclusive VIP reception – featuring corporate,
national government and Obama Administration
representatives
Table for ten
Recognition on event signage
Listing on NFBPA website
Quarter-page ad in Dinner Program
□ $2,500 BRONZE SPONSOR
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Table for ten
Listing on NFBPA website
Recognition in the Dinner Program
Eighth-page ad in Dinner Program
PAYMENT INFORMATION: METHOD OF PAYMENT:
Check
Credit Card
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AMEX
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I authorize NFBPA to charge the above-referenced credit card for in the total amount of $
Please make checks payable to NFBPA and forward with completed form to NFBPA, 777 North Capitol Street, NE, Suite 807, Washington, DC
20002. For additional information, please call NFBPA Executive Director John E. Saunders III, CAE at (202) 408-9300, Ext 1-101. NFBPA is a
501(c)(3) organization and your contributions are tax deductible to the extent provided by law. Thank you.