Wrightslaw Sponsorship Form

ABLED Advocacy - Conference Sponsorship Registration

Two-Day Wrightslaw Boot Camp; October 4 & 5, 2019 At The Lakeside Inn, 595 North Ave, Wakefield, MA 01880
Organization Name*
Web Address*
Contact Name*

First NameLast Name
Contact E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Upload high-resolution logo to include with mentions at event or for online communications.

Browse Files

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Please provide a description, up to 100 words, of your organization to include with mentions at event or for online communications.

Sponsorship Levels*

Level 1 Supporter$250.00

Level 2 Supporter$500.00

Level 3 Supporter$750.00

Level 4 Supporter$2,500.00

Level 5 Supporter$5,000.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Complimentary Ticket Information

Complimentary tickets will be emailed to the assigned attendees.
Attendee 1 - Name

First NameLast Name
Attendee 1 - E-mail
example@example.com
Attendee 1 - Phone Number

Area CodePhone Number
Attendee 1 - Dates Attending

Friday, October 4Saturday, October 5
Attendee 2 - Name

First NameLast Name
Attendee 2 - E-mail
example@example.com
Attendee 2 - Phone Number

Area CodePhone Number
Attendee 2 - Dates Attending

Friday, October 4Saturday, October 5
Promotional Items

Contact ABLED Advocacy for review of promotional items within 1 week of registration submission. ABLED will have a “swag” table for promotional materials; Level 5 Supporters may also hand out promotional materials form their own exhibit.
Please provide details of promotional items you would like ABLED Advocacy to approve for donation to event attendees.
Contact for Promotional Items*

First NameLast Name
Contact for Promotional Items: E-mail*
example@example.com
Contact for Promotional Items: Phone Number*

Area CodePhone Number
Exhibitor Information
Your Name*

First NameLast Name
Your E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Should be Empty:

ABLED Advocacy - Conference Sponsorship Registration