Annual Dinner & State of the County Program Sponsorship

Tuesday, March 29, 2011

*required information

Contact Information
First Name*
Last Name*
Email Address*
 

Purchase Information

Please choose an individual reservation or sponsorship opportunity
     
     

Individual Reservation

Sponsorship #1

Sponsorship #2

$30 per person

$225

$175
Please indicate the
number of seats you
are reserving below
Includes listing on placemats, posters, and in program; two registrations; and exhibit space
Includes listing on placemats, posters, and in program and two registrations
     
 

Quantity
Quantity*
 
 

Billing Information
First name*   Last name*
Company Name (Exactly as listing will read)      
Street Address*   City*
State*   Zip*
Phone #*   Fax #
 

Special Notes

Sponsorship #1: Please indicate if you need a table and/or electricity.

   
Mastercard or Visa only.
 

Pay by Credit Card

Invoice Me

 
                                                                                       
 
NOTE:
Our policy is reservations made and not cancelled 24 hours prior to the event will be invoiced.