The US Business Leadership Network® (USBLN®) is a national non

2015 US Business
Leadership Network® (USBLN®)
Company Partnership &
Benefit Opportunities
US Business Leadership Network ®
1310 Braddock Place, Suite 101
Alexandria, VA 22314
Phone: (800) 706-2710
Fax: (800) 706-1335
www.usbln.org
www.usblnannualconference.org
2015 Partnership Opportunities
“
helps business
drive performance
by leveraging
disability inclusion
in the
marketplace,
workplace, and
supply chain …
The US Business Leadership Network® (USBLN®) is a national non-profit that helps
business drive performance by leveraging disability inclusion in the marketplace,
workplace, and supply chain. The USBLN serves as the collective voice of nearly 50
Business Leadership Network affiliates across the United States, representing over 5,000
businesses. Additionally, the USBLN Disability Supplier Diversity Program® (DSDP) is the
nation’s leading third party certification program for disability-owned businesses, including
businesses owned by service-disabled veterans.
”
Why Become a Partner?
page 4
Partnership Benefits
page 4
Partnership Opportunities
page 5
Partnership Levels
Black Pearl Presenting Partner
page 6
Diamond Partner
page 7
Emerald Partner
page 8
Sapphire Partner
page 9
Ruby Partner
page 10-11
Topaz Partner
page 11
DOBE/SDVOB® Host Committee
page 12
A la Carte Partnership Opportunities in Addition to Partnership
page 13
Small Business Partnership Opportunities
page 13
2015 USBLN Company Partnership Application Form
page 14-15
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
2
Thanks to our 2014 Partners
PRESENTING
AMC Entertainment Inc.
Barnes & Thornburg, LLP
LEAD MEDIA
DiversityInc
EMERALD
IBM
Southwest Airlines
SAPPHIRE
CVS Health
Deque Systems
GlaxoSmithKline
Marriott International
McKesson
Northrop Grumman Corporation
OfficeMax-Office Depot
Walgreen Co.
Wells Fargo
RUBY
AIG
Cigna
EY, LLP
Lowe’s Companies
McDonald’s
Merck
Nordstrom
PNC Bank
PricewaterhouseCoopers, LLP
TJX Companies
Walmart
WellPoint
TOPAZ - continued
HESS Corporation
Highmark
Kaiser Permanente
KPMG LLP
Lockheed Martin
MassMutual
Manpower
Microsoft
Novartis
Prudential
Qualcomm
Raytheon
Sodexo
Sprint
SSB BART Group
Starbucks
TD Bank
Time Warner
Verizon
CONFERENCE SUPPORTER
UPS
DOBE® HOST COMMITTEE
Bender Consulting
Accelerated Engraving & Signage
Caption First
Charlotte International Partners
Integrated Global Strategies
TOPAZ
AT&T
Boston Scientific
Comcast/NBC Universal
Canyon Creative
CSX
GM
Grainger
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
3
Why Become a Partner?
MEMBERSHIP BENEFITS
The USBLN’s success is based on understanding and partnering with employers to
help drive performance by leveraging disability inclusion in the marketplace,
workplace, and supply chain. To facilitate the best partnerships possible to achieve
our joint mission, the USBLN has developed a menu of partnership opportunities to
meet the needs of employers where they are on their disability and inclusion journey.
The following are key benefits available at all partnership levels.

Receive National Recognition as a leader in supporting disability inclusion in the marketplace,
workplace, and supply chain

Influence National Disability Policies as the USBLN not only represents its member
companies, but invites representatives to national level policy meetings

Take the Annual Disability Equality IndexSM (DEISM) at no cost to Fortune 1000 members to
annually take this online benchmarking tool that offers businesses the opportunity to receive an
objective score, on a scale of zero to 100, on their disability inclusion policies and practices. This
is a joint initiative with the American Association of People with Disabilities.

Build Supplier Diversity with exclusive access and no user fees to the USBLN Certified
Disability-Owned Businesses Enterprises (DOBE®s) and Service Disabled Veteran Owned
Businesses (SDVOBs) database, best practices, virtual and face-to-face meetings and events

Access Members-Only Webinars unlimited and no fee registrations on member generated
topics

Use the Section 503 Self-Evaluation Compliance Tool no cost to members for this confidential
easy to use survey

Participate in Quarterly Membership Calls focused on member's needs - NEW in 2015

Qualify for Annual Leadership Awards with applications available only to member companies

Reach Local Affiliate Network that provide opportunities for outreach to targeted local
communities and access to talent through the affiliate network of the USBLN, which includes
nearly 50 local Business Leadership Networks (BLNs)

Find Great Talent through the USBLN Career Link Mentoring Program in partnership with Cornell
University (supported through a grant from the Mitsubishi Electric America Foundation and the
Walmart Foundation)

Boost Your Company’s Brand Reputation with your company logo on www.usbln.org and link
to corporate website plus use of the USBLN logo on your website and marketing materials

Raise Your Profile and receive multiple benefits and branding opportunities linked with the
USBLN Annual National Conference & Biz2Biz Expo
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
4
2015 Partnership Opportunities
Benefits
Black Pearl
Exclusive
Presenting
Partner
X
Leadership
Partner
Diamond
Emerald
Sapphire
Ruby
Topaz
X
Premier Logo
Placement
X
Prime Logo
Placement
X
Logo on
Website
X
Podium
Remarks at
Policy
Luncheon
X
Podium
Remarks at
Leadership
Dinner
X
X
X
X
X
X
X
X
Keynote
Presentation
X
X
Presentation of
Company Video
X
X
Free-Standing
Pop-Up
X
X
X
Reserved Seats
at Leadership
Dinner
10
8
6
Advertisement
and Brochure in
Conference Bag
X
X
Advertisement
or Brochure in
Conference Bag
X
Promotional
Item in
Conference Bag
X
X
X
X
X
Complimentary
Registrations
10
8
6
4
3
2
6
4
3
2
1
Invites to Policy 8
Partners meeting
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
5
2015 Partnership Levels
BLACK PEARL PRESENTING PARTNER
$100,000 (a minimum of 50% required in cash contribution) (1 Available)
At the Black Pearl Membership Level, in addition to the many membership benefits, your company is
invited to be the Presenting Partner of the 2015 USBLN National Conference & Biz2Biz Expo where
your Company will receive exclusive visibility, national recognition, and top billing on all conference
promotional materials.
Additional Benefits:
•
Annual Corporate Membership in the USBLN
•
The Disability Supplier Diversity Program® (DSDP) with access to all DOBE/SDVOB ®
suppliers
•
Exclusive recognition as Presenting Partner on all promotional materials, signage, and
website
•
Recognition as one of the sponsorship hosts for the Students with Disabilities conference
participation
•
Premier placement of company logo on USBLN’s dedicated websites with link to your
company website
•
10 complimentary registrations to the 2015 National Conference & Biz2Biz Expo with an earlybird discount on additional company registrations
•
8 invitations to the USBLN-hosted exclusive Policy Partners meeting during the National
Conference
•
Podium remarks delivered by a company executive at the Policy Partners meeting (5 minutes)
•
Keynote delivered by a C-Suite company executive during a Plenary Session (10 minutes)
•
Option to provide a 2-minute captioned video, produced by your company, on the Company’s
disability inclusion efforts to be shown during a Plenary Session
•
10 reserved seats at the Leadership Awards Dinner for the company’s registered conference
attendees
•
Option to insert an advertisement and brochure in conference bag
•
Option to place one promotional item on the tables at the Leadership Awards Dinner (Item
provided by company)
•
Premier logo placement in all e-newsletters leading up to the conference
•
Recognition on a presentation slide that will be shown in each plenary session
•
Option to provide a free-standing (pop-up) company banner that will be displayed in a very
prominent place during the National Conference
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
6
DIAMOND PARTNER
$75,000 (Hosted by Barnes & Thornburg, LLP)
At the Diamond membership Level, in addition to the many membership benefits, your company is
invited to serve as the Leadership Partner of the 2015 USBLN National Conference & Biz2Biz Expo
where your Company will receive prime visibility, national recognition and will serve as the host of the
2015 USBLN Annual Leadership Awards Dinner.
Additional Benefits:
•
Annual Corporate Membership in the USBLN
•
The Disability Supplier Diversity Program® (DSDP) with access to all DOBE/SDVOB ®
suppliers
•
Exclusive recognition as a Leadership Partner on all promotional materials, signage, and
website
•
Prime placement of company logo on USBLN’s dedicated websites with link to your company
website
•
8 complimentary registrations to the 2015 National Conference & Biz2Biz Expo with an earlybird discount on additional company registrations
•
6 invitations to the USBLN-hosted exclusive Policy Partners meeting during the National
Conference
•
Podium remarks delivered by a C-Suite or Senior level company executive at the Leadership
Awards Dinner (5 minutes)
•
Option to provide a 2-minute captioned video, produced by your company, on the Company’s
disability inclusion efforts to be shown during the Leadership Awards Dinner
•
8 Reserved seats at the Leadership Awards Dinner for the company’s registered conference
attendees
•
Option to insert an advertisement and brochure in conference bag
•
Option to place one promotional item in conference bag and on tables at the Leadership
Awards Dinner (Item provided by company)
•
Premier logo placement in all e-newsletters leading up to the conference
•
Recognition on a presentation slide that will be shown in each plenary session
•
Option to provide a free-standing (pop-up) company banner that will be displayed in a very
prominent place during the National Conference
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
7
EMERALD PARTNER
$50,000
At the Emerald membership Level, in addition to the many membership benefits, your company is
invited to brand and keynote one of the plenary sessions during the 2015 USBLN National
Conference & Biz2Biz Expo where your Company will receive prominent visibility and recognition.
Selection is first come, first served with more than one opportunity available for some events.
Branded Events & Opportunities:
•
Grand Opening Plenary – Day 1 Hosted by IBM, 1 available
•
Technology Plenary Session – Day 1 – Hosted by Deque Systems, 1 available
•
Marketplace Business Luncheon Plenary Session – Day 1 (2 available)
•
Supply Chain/Supplier Diversity Business Luncheon Plenary – Day 2 (2 available)
•
Professional Development Plenary Session – Day 3 (2 available)
•
Disability Equality Index (DEI) Reception – Hosted by Northrop Grumman
Additional Benefits:
• Annual Corporate Membership in the USBLN
• The Disability Supplier Diversity Program® (DSDP) with access to all DOBE/SDVOB®
suppliers
• Prominent recognition as an Emerald Partner on all promotional materials, signage, and
website
• Prominent placement of the company logo on USBLN’s dedicated websites with link to your
company website
• 6 complimentary registrations to the 2015 National Conference & Biz2Biz Expo and early-bird
discount on additional company registrations
• 4 invitations to the exclusive USBLN-hosted Policy Partners meeting during the National
Conference
• Keynote remarks delivered by a C-suite or senior level executive at hosted plenary session
(10 minutes)
• Option to insert an advertisement or brochure in conference bag
• Option to provide a free-standing (pop-up) company banner that will be displayed during the
National Conference
• 6 Reserved seats at the Leadership Awards Dinner for the company’s registered conference
attendees
• Option to place one promotional item in conference bag and on tables at hosted plenary
session (Item provided by company)
• Prominent logo placement in all e-newsletters leading up to the conference
• Recognition on a presentation slide that will be shown during each plenary session
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
8
SAPPHIRE PARTNER
$25,000
At the Sapphire membership level, in addition to the many membership benefits, your company is invited
to brand one of the prominent events or activities during the 2015 USBLN National Conference & Biz2Biz
Expo where your Company will receive prominent visibility and recognition. Your company representative
will have the opportunity to provide podium remarks photographed by the conference photographer.
Selection is first come, first served with more than one opportunity available for some events.
.
Branded Events & Opportunities:
• Inaugural Conference Mobile App Host -- Hosted by McDonald’s
• Veterans Community Service Project & Opening Reception – Hosted by McKesson
• Opportunity to Contribute Bags for the Veterans Community Service Project – (1 available)
• Attendee Name Badge Lanyards with Company Logo Imprint co-branded with USBLN – Hosted
by PNC Bank
• “Entrepreneurial Idol” DOBE/SDVOB® Competition & Awards – Hosted by Office
Depot/OfficeMax, 1 available
• Leadership Awards Dinner Reception – Hosted by Marriott International & Southwest Airlines
• Business Exchange MatchMaker Meeting-Disability Supplier Diversity Program® (Hosted by
Walgreens, 1 available)
• Biz2Biz Expo "Power of Partnerships" including Welcome Reception & Mixer and Breakfast events
(includes 1 8x10 exhibit booth space for each Host partner) Hosted by CVS Health, 1 available
• American Sign Language and Real-Time Captioning Host (2 available)
• Student/Leaders Monday Networking Dinner – Hosted by GSK, 1 available
• Student Networking & Etiquette Training Tuesday Dinner (2 available)
• Student Conference Scholarships (6 available)
• Disability-Related Accommodations for Students (2 available)
• Official Wireless Host (1 available)
• Hotel Key Card - Hosted by Aetna
Additional Benefits:
• Annual Corporate Membership in the USBLN
• The Disability Supplier Diversity Program® (DSDP) with access to all DOBE/SDVOB® suppliers
• Recognition as a Sapphire Partner on all promotional materials, signage, and website
• Company logo placement on USBLN’s dedicated websites with link to your company website
• 4 complimentary registrations to the 2015 National Conference & Biz2Biz Expo
• 3 Invitations to the exclusive USBLN-hosted Policy Partners meeting during the National
Conference
• Option to place one promotional item in conference bag (Item provided by company)
• Acknowledgement in all e-newsletters leading up to the conference
• Recognition on a presentation slide that will be shown during each plenary session
• Option to provide a free-standing (pop-up) company banner that will be displayed during the
National Conference
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
9
RUBY PARTNER
$15,000
At the Ruby membership level, in addition to the many membership benefits, your company is invited to brand
one of the prominent events or activities during the 2015 USBLN National Conference & Biz2Biz Expo where
your Company will receive prominent visibility and recognition. Your company representative will have the
opportunity to provide podium remarks photographed by the conference photographer. Selection is first come,
first served with more than one opportunity available for some events.
Branded Events and Opportunities :
• Affiliates/Business Networking Luncheon – Pre-Conference – Hosted by UPS
• Disability Supplier Diversity Program® Private Reception – Day 1 – Hosted by Cargill & EY
• Certified Disability-Owned Business Enterprises (DOBE/SDVOB® s) Conference Attendance
Scholarship – Hosted by Merck, 5 available
• Disability Supplier Diversity Program® Procurement Council Luncheon – Hosted by Anthem
• Supply Chain Roundtable – Day 2 – Hosted by Cigna, 1 available
• Students Matchmaking Session – Hosted by Lowe’s Companies & Microsoft
• Student Saturday Welcome Dinner (2 available)
• Student Sunday Welcome Dinner - Hosted by BAH, 1 available
• Student Sunday Morning Pre-Conference Professional Development Session – Hosted by KPMG,
LLP, 1 available
• Sunday Student Pre-Conference Afternoon Activity – Innovation Lab – Hosted by Mitsubishi
Electric America Foundation (MEAF)
• Student Monday Morning Pre-Conference Professional Development Session – Hosted by
JPMorgan Chase
• Future Leaders Monday Luncheon & Networking Session – Hosted by Comcast & HP
• Industry Sectors Roundtable Session – Hosted by Raytheon
• Marketplace Roundtable Session – Hosted by Wells Fargo
• Workplace Roundtable Session – Hosted by PwC
• Student Tuesday Lounge & Resume Review Center - Hosted by Verizon
• Student Wednesday Lounge & Resume Review Center - Hosted by TJX Companies, Inc.
• Enhancing Your Personal Brand for Career Success: Emerging Professional Track Tuesday AM
Session - Hosted by Nordstrom & TD Bank
• Effective Use of Social Media for Professional Networking & Career Development: Emerging
Professional Track Wednesday PM Session Hosted by SAP, 1 available
• Leading with Authenticity, Purpose and Impact: Emerging Professional Track Thursday AM
Session – Hosted by Ingersoll Rand & General Motors
Additional Benefits:
• Annual Corporate Membership in the USBLN, which now includes the Disability Supplier Diversity
Program® (DSDP) with access to all DOBE/SDVOB® suppliers
• Recognition as a Ruby Partner on all promotional materials, signage, and website
• Company logo placement on USBLN’s dedicated websites with link to your company website
• 3 complimentary registrations to the 2015 National Conference & Biz2Biz Expo
• 2 Invitations to the exclusive USBLN-hosted Policy Partners meeting during the National
Conference
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
10
•
•
•
•
Option to place one promotional item in conference bag (Item provided by company)
Acknowledgement in all e-newsletters leading up to the conference
Recognition on a presentation slide that will appear throughout the event
Option to provide a free-standing (pop-up) company banner that will be displayed during the
National Conference
TOPAZ PARTNER
$10,000
At the Topaz membership level, in addition to the many membership benefits, your company receives
recognition during the 2015 USBLN National Conference & Biz2Biz Expo where your Company will
receive prominent visibility and recognition.
Benefits:
• Annual Corporate Membership in the USBLN
• The Disability Supplier Diversity Program® (DSDP) with access to all DOBE/SDVOB®
suppliers
•
Recognition as a Topaz Partner on all promotional materials, signage, and website
•
Company logo placement on USBLN’s dedicated websites with link to your company website
•
2 complimentary registrations to the 2015 National Conference & Biz2Biz Expo
•
1 Invitation to the exclusive USBLN-hosted Policy Partners meeting during the National
Conference
•
Presence in all e-newsletters leading up to the conference
•
Recognition on a presentation slide that will appear throughout the event
Topaz Partners:
3M, AIG, Air Products and Chemicals, Aramark, AT&T, BAE Systems, Baxalta, Baxter,
Bloomberg LP, BlueCross BlueSheild Association, BCBSSC, BMO Harris Bank, Boehringer
Ingelheim, Boeing, Capital One, Cox Communications, CSC, Disney Parks and Resorts, DOW,
ESPN, Fannie Mae, Florida Blue, Freddie Mac, Genentech, The Harford, Health Care Service
Corporation (HCSC), Hess, Highmark Health, Humana, Inquest Consulting, JLL Americas, Inc.,
John Register, Kaiser Permanente, Lockheed Martin, Manpower, Mass Mutual, Morgan
Stanley, Motorola Solutions, Inc., Nielsen, Novartis, Outerwall, P&G, Prudential, Qualcomm,
Sodexo, Sprint, SSB Bart Group, Starbucks, State Street Corporation,Takeda, TIAA- CREF,
Time Warner, U.S. Cellular, Walmart
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
11
DOBE ® HOST COMMITTEE
The USBLN is excited for Certified Disability-Owned Business Enterprises/Service-Disabled Veteran
Owned Businesses (DOBE/SDVOB®) to participate as partners of the 2015 USBLN National
Conference & Biz2Biz Expo as a member of the DOBE/SDVOB Host Committee. In order to provide
a high level of visibility, the number of DOBE/SDVOBs will be limited to10 Host Committee Members
plus one Chair of the Host Committee, who will serve as spokesperson for the group.
DOBE/SDVOB Host Committee Chair
$5,000
DOBE/SDVOB Host Committee Member
$2,500
Joyce Bender, President and CEO,
Bender Consulting Services
DOBE/SDVOB Host Committee Members (8 seats available)
Patricia Graves, President and CEO,
Caption First
Andy Houghton, Principal and CEO,
Integrated Global Strategies (IGS)
Benefits:
•
Recognition as a member of the DOBE/SDVOB Host Committee on all National Conference &
Biz2Biz Expo promotional materials, signage, and website
•
Company logo placement on USBLN’s dedicated websites with a link to DOBE/SDVOB
company website
•
1 complimentary registration to the 2015 National Conference & Biz2Biz Expo for
DOBE/SDVOB Host Committee members and 2 complimentary registrations for the
DOBE/SDVOB Host Committee Chair
•
High visibility introduction as a member of the DOBE/SDVOB Host Committee during the first
day Conference Luncheon and during a Disability Supplier Diversity Program® (DSDP) event
•
Opportunity to function as a “host” to attendees throughout the Conference (there will be preconference coaching for this activity), which gives increased visibility
•
2 Invitations to an exclusive USBLN-hosted Policy Partners meeting during the National
Conference
•
Option to place one company brochure in conference bag (Item provided by company)
•
Acknowledgement in all e-newsletters leading up to the conference
•
Recognition on a presentation slide that will appear throughout the event
•
Option to participate at the Biz2Biz Expo in a special area designated for the DOBE/SDVOB
Host Committee
Opportunity to provide input for the Annual Conference program content
•
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
12
A la Carte Opportunities in Addition to your Partnership Level
Social Media Partners (2 Available)
$5,000
Exhibit Hall Booth
$2,000
Single Booth (includes 2 full conference registrations)
Double Booth (includes 3 full conference registrations)
$3,500
One (1) Attendee Conference Bag Insert (company provides)
$2,000
Plus One!
Add to your partnership by hosting the conference registration fee and
travel expenses for a Student with a Disability or a Disability-Owned
Business Enterprise (DOBE/SDVOB ®) (unlimited)
$2,000 per
scholarship
Small Business, Government, Non-profit and Partnership Opportunities
We offer a discounted $5,000 corporate membership for small businesses. We also can
customize partnerships for government agencies and non-profit companies.
$5,000 < $500 million
*Disability-owned businesses and DOBE/SDVOB s are not eligible to join as members, but
may participate through certification and involvement in the Disability Supplier Diversity
Program (DSDP).
Please contact Cami Turcotte at cami@usbln.org or by phone at (800) 706-2710.
Veterans Community Service
Project participant at the 2014
USBLN Annual Conference in
Orlando, FL
Photo credit: Lawrence Roffee Photography © US Business Leadership Network® (USBLN®)
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
13
2015 USBLN® Company Partnership Application Form
RETURN FORM VIA: FAX TO CAMI TURCOTTE: (800) 706-1335 | PRINT, SCAN & EMAIL: CAMI@USBLN.ORG
PHONE: (800) 706-2710
Thank you for your interest in a USBLN partnership. If you are joining at the Emerald, Sapphire or Ruby level, you
are invited to select a branding event for the 2015 USBLN 18th Annual National Conference & Biz2Biz Expo,
September 28 – October 1, 2015, Austin, TX. Please review the details of your chosen partnership and the
associated benefits package carefully before filling out this form. If you have any questions, please contact Cami
Turcotte at cami@usbln.org or by phone at (800) 706-2710. Complete this form and fax the application pages only
to (800) 706-1335. You may also email your application to Cami@usbln.org. Your application is a nonrefundable
commitment and benefits begin to accrue immediately upon receipt by the USBLN. Your contribution may be tax
deductible. Please consult your tax advisor.
On behalf of my company, please accept our application for the following conference partnership package:
Level:
$:
Please list your top 3 Branded Event selections. Applicable to Emerald, Sapphire & Ruby Partnership Levels: first come, first
served.
Branded Event selections:
1.
2.
3.
Please add on the following to our package (i.e., exhibit hall booth, a la carte partnership opportunity):
$
Donated materials:
TOTAL AMOUNT TO BE INVOICED: $
Name:
Title:
Company (as it should appear in print):
In the most recent Annual Report my Company reported annual revenues of:
Address:
City/State/Zip:
Primary Contact – Name/Title:
Phone:
Email:
Alternate Contact – Name/Title:
Phone:
Email:
Accounting/Billing Contact – Name/Title:
Phone:
Email:
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
14
2015 USBLN® Company Partnership Application Form
Do you have a disability-focused Employee Resource Group (ERG) or Business Resource Group (BRG)? If yes:
Lead Contact for your ERG/BRG – Name/Title:
Phone:
Email:
PAYMENT INFORMATION:
Direct Deposit
Please invoice
Include Purchase Order # (if applicable):
Charge to:
A 4% credit card handling fee will be added to the total.
Credit Card No:
Exp Date:
(mm/yyyy)
Billing Name as it appears on the Card:
Billing Name/Address (if different from above):
City/State/Zip:
© 2015 US Business Leadership Network (USBLN). All rights reserved. www.usbln.org
15