Contact Person’s E-mail: _________________________________________ Business/Organization Name (as it should appear in print): _____________________________________________________________ Address/City/State/Zip: _________________________________________ Website: ____________________________________________________ PAYMENT AND DISPLAY INFORMATION: QUESTIONS? SPONSORSHIP LEVEL (SELECT ONE) Spotlight Sponsor ______ $1,000.00 Mercedes McGowan, PhD Break Sponsor ______ $500.00 (904) 373-0659 Gold Member Sponsor ______ $ 275 Email: mercedes@mercedesmcgowan.com Gold Non-member Sponsor ______ $ 325 INFORMATION FOR DISPLAY AND PRINT: Amount Enclosed$ CHECK ENCLOSED: Please complete the following by circling the correct response: Payment should be made payable to Collaborative Family Law Group o f NE FL and mailed with I will be submitting a logo for print and website materials this form to : in the following format: PDF__JPG Other (Specifcy) Collaborative Family Law Group of NE FL c/o Laura Giovannetti, Esquire, I will be bringing materials for a display table: Secretary 4720 Salisbury Rd YES NO Jacksonville, FL 32256 NOTE: You must register to attend the event online at . Sponsorship does not include the registration fee.
Contact Person’s E-mail: _________________________________________ Business/Organization Name (as it should appear in print): _____________________________________________________________ Address/City/State/Zip: _________________________________________ Website: ____________________________________________________ PAYMENT AND DISPLAY INFORMATION: SPONSORSHIP LEVEL (SELECT ONE) Spotlight Sponsor ______ $1,000.00 Break Sponsor ______ $500.00 Gold Member Sponsor ______ $ 275 Gold Non-member Sponsor ______ $ 325 Amount Enclosed$ QUESTIONS? Mercedes McGowan, PhD (904) 373-0659 Email: mercedes@mercedesmcgowan.com INFORMATION FOR DISPLAY AND PRINT: Please complete the following by circling the correct response: I will be submitting a logo for print and website materials in the following format: PDF__JPG Other (Specifcy) I will be bringing materials for a display table: YES NO CHECK ENCLOSED: Payment should be made payable to Collaborative Family Law Group o f NE FL and mailed with this form to : Collaborative Family Law Group of NE FL c/o Laura Giovannetti, Esquire, Secretary 4720 Salisbury Rd Jacksonville, FL 32256 NOTE: You must register to attend the event online at . Sponsorship does not include the registration fee.
jax_collaborative_sponsorship_information_2018_advanced_training-final_for_christinas_review.docx