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Corporate Sponsorships
galaadmin
2024-02-15T19:39:40-05:00
CORPORATE SPONSORSHIPS
"
*
" indicates required fields
Corporate Sponsorship
Corporate Sponsorship
Company/Business Name
Company Logo
Upload your company logo.
Max. file size: 100 MB.
CONTACT PERSON
Name
*
First
Last
Email
*
Phone
*
DINNER RESERVATION
Corporate sponsorships include dinner reservations for up to five attendees.
Included reservation for five
Will be attending
Will not be attending
DINNER ATTENDEES
Please list names of attendees below.
Number of Attendees
Please enter a number from
1
to
5
.
ATTENDEE NAMES
Please list names of up to five attendees.
PAYMENT
Total Amount
Billing Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Payment Type
Credit Card
Check/Cash
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
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