ESC Region 11 - Vendor/Sponsorship Form

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Please complete the form below in order to signal your interest in being a vendor/sponsor for the conference on Monday, July 8th (8 a.m.- 4p.m.) at ESC Region 11 in Fort Worth (White Settlement). Law enforcement, counselors, school personnel, parents, state agencies, community members and many other stakeholders are invited to attend. Expected enrollment: 300.

**NOTE: Vendors/sponsors who are not an approved sponsor must visit https://www.esc11.net/Page/6858 and complete the Sponsorship Form as well https://docs.google.com/forms/d/1pF-XfwuRJZvuBKbzsts5a20lmzU-BwCTujiJd6T2Tc4/viewform?edit_requested=true

Email *

Your Name *

Company Name *

Phone number *

Alternate phone number

I am interested in sponsoring the following: *

Bronze Level - $250 - Includes two tables and name recognition on all communication to conference attendees

Silver Level - $500 - Includes Bronze Level PLUS one conference fee waived ($99 value)

Gold Level - $750 - Includes Silver Level PLUS 45-minute presentation session

Platinum Level - $1000 - Includes Gold Level PLUS prime location with visual recognition and company information on roadside marquee

Luncheon sponsor - $4,000

Required

Kindly remit check by June 1, 2019 to: ESC Region 11, 1451 S. Cherry Lane, White Settlement, Texas, 76108 Attn: Andrea Walker

ESC Region 11 vendor/sponsor contacts: Andrea Walker awalker@esc11.net or 817-740-3631 and Nelline Dignum ndignum@esc11.net or 817-740-7590

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