ITC 2017 Corporate Sponsors & Conference Exhibitor Enrollment Form

Thank you for your support. Please complete the following information so that we may process your order.

Contact Information

Name
Title
Company
Address
City/State/Zip
Daytime Phone
Fax
Email

Annual Sponsorship

Platinum Level - $10,000
Gold Level - $5,000

Annual Conference Exhibit

Standard Exhibit Space (Includes 2 Registrants) - $1,495
Deluxe Exhibit Space (Includes 3 Registrants) - $2,500

Additional Opportunities

Conference Sponsor - $5,000
Registration Desk - $500
Lanyards - $1,250
Pocket Agenda Card - $1,250
Mobile App & Conference WiFi - $5,500
Welcome Reception - $5,000
Awards Lunch - $7,500
Beach Party - $10,000

Total Amount Due

Total Amount Due will be provided on next screen.

Payments

Quarterly Payment Plan

(For Payment of $1,000 or More)
I Want to Participate in the Payment Plan (One-Time $25 Fee). For those paying more than $1,000, ITC offers participants the ability to make quarterly payments for the total amount due. The total amount due will be divided into four equal payments and automatically processed on your credit card through our secure, automated service. The fee to participate in this Quarterly Payment Plan is a one-time charge of $25. This one-time fee will be charged at the time of the first of the four payments.
To participate, please select "Pay by Mail" on the screen after the next one, download the Quarterly Payment Plan Form linked on the confirmation page, and either fax or mail the form to the ITC Executive Office.

Tax ID # 52-1839730
(An ITC W-9 Form can be found on the ITC website at www.itcnetwork.org on the bottom of the SPONSOR/EXHIBITORS page.)