2017
Sponsorship / Exhibitor Agreement & Selection Form - Part I
Thank you for participating in the 2017 CIPC Conference ! MarketScout will send confirmation when processed with specific sponsorship benefits .
Please check all that apply :
Platinum Sponsor - $ 10,000 |
Keynote Speaker - $ 5,000 |
Gold Sponsor - $ 5,000 |
Power Charging Station - $ 3,000 |
Silver Sponsor - $ 2,500 |
Networking Breaks - $ 2,500 ( 2 Available ) |
Bronze Sponsor - $ 1,000 |
Exhibitor Booth - $ 1,950 |
Additional Attendee Registration - $ 395 / person ( Optional )
Grand Total Due Please make checks payable to MarketScout .
$ _________________________
$ _________________________
I hereby make application of the above for the 2017 CIPC Conference .
Company Name : _______________________________________________________________________ Contact Name : _____________________________ Title / Position : ________________________________ Mailing Address : _______________________________________________________________________ City : ____________________________________ State : _____________________ Zip : ______________ Phone : ______________________________________ Fax : ____________________________________ E-mail : _______________________________________ Website URL : ___________________________
( PLEASE CONTINUE TO SPONSORSHIP / EXHIBITOR AGREEMENT & SELECTION FORM - PART II )
Tel : 972.934.4264 Email : cipc @ marketscout . com www . privateclientcouncil . com