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Platinum Partnership/Exhibitor 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:
 

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 Platinum Partnership/Exhibition 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:
 

Platinum Partnership/Exhibitor Booth Size

Please indicate any special arrangements that need to be made for the annual, tax-deductible contribution that Platinum Partners and Exhibitors make and provide a purchase order number if needed.

Special Arrangements:
Purchase Order Number:
 

Interested in additional exposure at our events? See our available sponsorships listed under each individual League event.

Questions completing this form?

Contact Chris Hennessey at (480) 705-8200 x237