JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2020 TETA Corporate Partnership Promotional/Advertising Package Application
Tennessee Educational Technology Association
Application for Corporate Partnership Promotional/Advertising Package
January 1, 2020- December 31, 2020
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Membership Contact Information
This is your contact information. Billing contact information is listed below. If this information is the same, please check the box below.
Company Name
*
Your answer
Company Website
*
Your answer
Does Your Company have a E-Rate SPIN number?
*
Please input SPIN number below. If you are a non E-rate vendor, please respond with (N/A).
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP
*
Your answer
Phone
*
(xxx) xxx-xxxx
Your answer
FAX
*
(xxx) xxx-xxxx
Your answer
Representative 1
Your answer
Email 1
Your answer
Representative 2
Your answer
Email 2
Your answer
Representative 3
Your answer
Email 3
Your answer
Representative 4
Your answer
Email 4
Your answer
Representative 5
Your answer
Email 5
Your answer
Representative 6
Your answer
Email 6
Your answer
Type of Partnership Package you are purchasing:
*
Regional Partnership Package #1--$12,500
Regional Partnership Package #2--$8,000
Regional Partnership Package #3--$5000
None
Required
A la Carte Options--TETA Membership or Promotional Package is required for purchasing any a la carte options
If adding any A la Carte Options, please check below:
Additional Session only ATA -- $500 per region
Additional Session only ITA -- $500 per region
TETA Night at TETC -- $2500
TETA Reception at ISTE -- $2500
TETA Table at CoSN Advocacy Dinner--$2500
Billing Info
If billing information is the same as contact information for Representative #1 above, please check the box and do not fill out the rest of this form.
SAME as Representative #1 above
Bill To:
ie: Account Payable
Your answer
Company
Your answer
Address1
Your answer
City1
Your answer
State1
Your answer
ZIP1
Your answer
Phone of billing contact
(xxx) xxx-xxxx
Your answer
FAX1
(xxx) xxx-xxxx
Your answer
Email of billing contact
*
Your answer
Please mark method of payment
Invoice will be sent to the Accounts Payable person listed above. A 3% surcharge will be added for credit card use.
Check
Credit Card
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tennessee Educational Technology Association.
Report Abuse
Forms
