2017 WBENC STUDENT ENTREPRENEUR PROGRAM SPONSORSHIP PLEDGE FORM Thank you for your interest in becoming a sponsor of the 2017 WBENC Student Entrepreneur Program (SEP) June 1823, 2017 in Las Vegas, NV. Be sure to review the details of your chosen sponsorship and the associated benefits package carefully. As your contribution may be tax deductible, please consult your tax advisor. Please complete and return this form via email to valuedsponsors@wbenc.org or via fax to 202.330.5403. Once the form has been sent, please provide a high resolution version (300 dpi or greater) of the company logo via email to the address listed above.
SPECIAL NOTE: All submitted pledges are considered non-refundable commitments at the level of payment indicated on the form. Benefits begin to accrue immediately upon receipt by WBENC.
On behalf of my company, please accept our pledge for the following sponsorship: $_______________________________________________________________________________________________________
Name:_____________________________________________ Title:__________________________________________________ Company (as it should appear in print):_______________________________________________________________________ Address:___________________________________________ City/State/Zip: _________________________________________ Conference Contact:_________________________________ Phone:________________________________________________ Email:_____________________________________________ Company Twitter Handle: @______________________________ Company Website: ____________________________________
Payment Information: All payment must be completed prior to the national conference. Failure to complete payment may result in loss of benefits. OPTION 1 Charge in:
OPTION 2 2016 OR
1st Quarter 2017
Invoice in:
2016 OR
1st Quarter 2017
Include Purchase Order# (if applicable):______________
Select: Credit Card No:___________________________________ Exp Date: ___________________
Billing Address (if different from above): ________________________________________________ City/State/Zip:
Name as it appears on the Card:
________________________________________________
________________________________________________ Signature Authorizing Charge:
Signature: ________________________________________________
________________________________________________
QUESTIONS? PLEASE CONTACT: Mia Delano, Sr. Director of Development
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202.872.5515, x8024
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valuedsponsors@wbenc.org
SPONSORSHIP OPPORTUNITIES
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