Please review, complete and sign the following application and contract. Once completed, scan and email or fax the contract to
ACSA Exhibits: Laura Bohannon CMM, CMP and Amber Pankey.
Exhibits@ACSA.org | Exhibits2@ACSA.org | Fax 775-392-3222
Contact us with any questions at: 775-446-5700
Primary Contact Information
Contact Name and Title:________________________________
Company Name:__________________________________
Supporter | $1,000
Supporter Plus | $1,500
Event Sponsor | $2,000
Address:____________________________________
City:________________
State:_____________
Zip:_________________
Phone:___________________ Cell: ____________________ Email:_____________________________________________
Additional Exposure (see additional pages for details)
General Session Sponsor | $5,000 (SOLD OUT)
Wednesday Happy Hour Trivia Sponsor | 2,500 (1 Available)
Thursday Night Networking Reception Sponsor | $2,000
(1 Available)
5 Minute Live Interview| $2,500
3 Minute Prerecorded Video | $2,000
Recorded Session | $1,000
Lunch Delivery Sponsor | $5,000 (1 Available)
Coffee Break Sponsor | $5,000 (2 Available, 1 each day)
Details about all opportunities on the 2nd and 3rd page
Payment Information
TOTAL DUE: ____________
Payment By Check: (Payable To) Foundation for Education
Administration (Addressed To) ACSA Attn: Financial Services|
1575 Bayshore Hwy, Suite 300, Burlingame California 94010
Payment by credit card: For your security, please call Laura
Bohannon or Amber Pankey with credit card information at
775-446-5700
I am an authorized company representative with the full
power and authority to sign and deliver this Sponsorship
Application. I understand that this document represents the
entire understanding and contract between parties involved
and shall be governed by the laws of the State of California.
By signing this agreement, I agree to abide by all rules and pay
the amount for the sponsorship in full upon receipt of the
invoice.
________________________________________________
Name of Authorized Individual Signing on Behalf of Company
________________________ _______________________
Signature Date
________________________________________________
Name of Authorized Individual Signing on Behalf of ACSA
________________________ ______________________
Signature Date
Supporter Options (see additional pages for details)