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Contact Information
 First Name *
 Last Name *
 Company Name *
 Preferred E-Mail Address *
 Preferred Phone Number *
Sponsorship Information
 My company is interested in the following sponsorship level:
  Platinum Level ($25,000)
 
  • Premier sponsor for the event
  • 2 tables - preferred seating (20 seats)
  • Corporate logo on invite and program
  • 3 STEM based volunteer opportunities for your staff
  Gold Level ($15,000)
 
  • 1 table - preferred seating (10 seats)
  • Corporate logo on invite and program
  • 2 STEM based volunteer opportunities for your staff
  Silver Level ($10,000)
 
  • 1 table at event (10 seats)
  • Corporate logo on invite and program
  • 1 STEM based volunteer opportunity for your staff
  Bronze Level ($5,000)
 
  • Half table at event (5 seats)
  • Corporate logo on invite and program
  Individual Ticket - Committee Member Referral
 Please indicate which STEM Committee Member referred you: *
  1 ticket ($180)
  2 tickets ($360)
  3 tickets ($540)
  Individual Ticket ($250 each)
  1 Ticket
  2 Tickets
  3 Tickets
  4 Tickets
  5 Tickets
Invoice Information
 Please mail me an invoice YesNo
Address Information:
 Please email me an invoice YesNo
If different than e-mail address above, please indicate e-mail here:
Items marked with an asterisk(*) are required
Verification Code
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