2019
Sponsorship/Exhibitor Agreement & Selection Form - Part I
Thank you for participating in the 2019 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 Program Book/Name Badge - $5,000
Silver Sponsor - $2,500 Power Charging Station - $3,000
Bronze Sponsor - $1,000 Networking Breaks - $2,500
Additional Attendee Registration - $395/person
(Optional)
$ _________________________
Grand Total Due $ _________________________
Please make checks payable to MarketScout.
I hereby make application of the above for the 2019 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: [email protected]
www.privateclientcouncil.com