4th Annual Energy Independence Event - Sponsorship

* required information
Energy Independence Event - Sponsorship 
Information
First Name:*
Last Name:*
Job Title:*
Email:*
Company Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Business Phone:*
Will you be attending this event?:* Yes   No  
Sponsorship
Sponsorship - Not-For-Profit Companies - $100
For $100, you will receive a half-page ad in the event journal which will be given to each attendee, an exhibition table at the event and a hyperlinked listing on the event website.
$100.00
Sponsorship - For-Profit Companies - $250
For $250, you will receive a half-page ad in the event journal which will be given to each attendee, an exhibition table at the event and a hyperlinked listing on the event website.
$250.00
Sponsorship - Marquee Level - $1,000
For $1,000 or more, you will receive a full-page ad in the event journal, a prominently placed exhibition table at the event, priority seating at the event, and prominent placement of your company’s hyperlink on our event website.
$1,000.00
Please consider making an additional donation to AJC to support our important work locally and around the globe. Visit www.ajc.org for more details.
Amount:$
Additional Information
Organization or affiliation:
Is this your first AJC event?:* Yes
No
Will any guests be accompanying you?: Yes
No
Guest 1 - Name:
Guest 1 - E-Mail (optional):
Guest 2 - Name:
Guest 2 - E-Mail (optional):
Guest 3 - Name:
Guest 3 - E-Mail (optional):
Guest 4 - Name:
Guest 4 - E-Mail (optional):
Comments:
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When you click submit, your credit card details will be requested. You can also pay by check, if you wish. An e-mail will be sent to you shortly thereafter confirming the details of the event. We are grateful for your sponsorship of this important event and hope that you can attend on Wednesday, October 24th.