NCSRC Annual Symposium Vendor Check Payment

First Name *

Last Name *

Email Address *

Phone *

Company Name *

Street Address *

City *

State/Province *

ZIP / Postal code *

Country

Website *

Brief Company Overview *

Representative Names and Titles for Name Badges *

Upload Company Logo for Publication/Acknowledgement

SPONSORSHIP LEVELSPlatinum – $1250.00 Three complimentary event registrations and 2 event tables plus social media shout out, Company Logo on the back of event t-shirt, Company Logo on event signage, and Premium table set up during the event.Gold – $1000.00 Two complimentary event registrations and 1 event table plus Mention in event BrochureSilver – $800.00 One complimentary event registration and 1 event table

Additional RepresentativesEach additional rep is $100 (does not include CRCE registration)One Rep $100.00Two Reps $200.00Three Reps $300.00Four Reps $400.00

SPONSORSHIP LEVELSEmployer/Educator Table – $500.00- One complimentary event registration and 1 event table

Additional RepresentativesEach additional rep is $100 (does not include CRCE registration)One Rep $50.00Two Reps $100.00Three Reps $150.00Four Reps $200.00

Electrical Fee 120v 20 amp $75.00$75.00

Break-Meal SponsorTier 1- $100Tier 2- $250Tier 3- $500

Sputum Bowl-Student TrackTier 1- $100Tier 2- $250Tier 3- $500

Calculations

Paying by CHECKIf paying by CHECK, Send to: NCSRC PO Box 3002 New Bern, NC 28564Paying by CHECK

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