AC2014 Sponsor Application

Contact Information
Company Name
Company Contact Name
Address
City State Zip
Phone
Fax
E-mail
Description of Company: Please limit to 50 words.
Level of Sponsorship:
(check one)
Platinum ($5,000)
Gold ($3,500)
Silver ($2,000)
Bronze ($1,000)
Buckeye ($500)
Morning/Afternoon Break or Breakfast Sponsor ($1,000)
Exhibitor Details (check one):
Check here if you have completed your Exhibitor Application (deadline is August 1, 2014)
Check here if you do NOT wish to Exhibit.
Publicity Details:
Check here if you have e-mailed your company’s high resolution logo (300dpi) (.ai. .psd, .png or .jpg format only) to jennifer.taylor@midwestcarealliance.org.
In order for Midwest Center to guarantee inclusion in conference program materials, the completed form and payment must be received by August 1, 2014.
   - denotes required fields