connect2comms - IABC Southern Region Conference Sponsorship Commitment Form
Sign in to Google to save your progress. Learn more
Thank you!
We appreciate your interest in being a sponsor of connect2comms, our 2022 IABC Southern Region Conference.

This form must be submitted along with sponsorship payment in full prior to receiving sponsor benefits.
Sponsorship Level *
*
MM
/
DD
/
YYYY
Company *
Alternative Sponsor Listing Name
If other than your company name, indicate how you want to be listed in the roster of sponsors:
Primary Contact Name *
Mailing Address *
Include city, state or province, and zip code or postal code.
Phone *
Mobile Phone
Email Address *
Payment Amount *
List amount to be submitted in US dollars.
Check Number
List the check number we will be receiving via the mail (instructions below)
Electronic Signature *
By placement of my name to this form, I affirm this sponsorship committment via electronic signature.
Payment Instructions
Checks should be made out to IABC Southern Region and mailed to:

VP, Finance
IABC Southern Region
500 Westover Dr #5672
Sanford NC 27330

If you prefer to pay by credit card, contact treasurer@iabcsouthern.com for a payment form.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy