2019 ATIXA West Coast Annual Conference Sponsor and Exhibitor Application

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* 1. Email Address:

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* 2. Name of Exhibitor/Sponsoring Organization:

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* 3. Full Mailing Address:

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* 4. Name of Primary Contact:

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* 5. Title of Primary Contact:

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* 6. Phone:

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* 7. Website Address:

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* 8. Description of Products/Services:

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* 9. Confirm Email Address:

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* 10. I would like to register as a West Coast Conference Exhibitor ($2000):

No:

Yes:

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* 11. Please indicate your requested level of sponsorship:

Partner: Non-Profit $350

Partner: For-Profit $500

Bronze: Welcome Bag $1,500

Bronze: Chair Massages $1,500

Bronze: Morning Beverage Break $1,500

Bronze: Roundtable Discussions & Networking Dinner $1,500

Silver: Lanyards $2,500

Silver: On-Site Program Guide $2,500

Silver: Charging Station $2,500

Gold: Afternoon Break $3,500

Platinum: Branded Sponsorship of Conference Phone Application $4,000

Platinum: Client Dinner $4,000

Diamond: Welcome Reception $5,000

Diamond: Breakfast $5,000

Diamond: WiFi Sponsorship $5,000

2019 ATIXA West Coast Annual Conference Sponsor and Exhibitor Application

Question Title

* 1. Email Address:

Question Title

* 2. Name of Exhibitor/Sponsoring Organization:

Question Title

* 3. Full Mailing Address:

Question Title

* 4. Name of Primary Contact:

Question Title

* 5. Title of Primary Contact:

Question Title

* 6. Phone:

Question Title

* 7. Website Address:

Question Title

* 8. Description of Products/Services:

Question Title

* 9. Confirm Email Address:

Question Title

* 10. I would like to register as a West Coast Conference Exhibitor ($2000):

Question Title

* 11. Please indicate your requested level of sponsorship:

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* 12. For Next Steps: Please contact Caryn Luethe at Caryn.luethe@tngconsulting.com.