PREMIER SPONSORS PROGRAM SPONSORSHIP FORM 2015 Annual Conference July 27 – 29 Nashville Renaissance Hotel Nashville, TN Note: Please see the NASFM 2015 Annual Conference Sponsorship Guide for more details about the benefits associated with each Sponsorship level. The Guide can be found at http://www.firemarshals.org/events* I would like to contribute to the conference at the following level: SPONSORSHIP LEVEL AMOUNT TOTAL Platinum - Contribution Level: $10,500 PLUS Gold - Contribution Level: $6,250 - $10,499 Silver - Contribution Level: $2,250 - $6,249 Bronze - Contribution Level: $500 - $2,249 *Additional Sponsorship Opportunities: (Contact Us for Availability) Conference Shirts (your logo with NASFM’s) $5,250.00 Custom NASFM Challenge Coin $4,000.00 Flash Drive with Conference Presentations (you provide flash drives with your company logo, we add conference materials) $3,000.00 Name Badges (your logo with NASFM’s) $2,500.00 SFM – Only Breakfast Forum (one sponsorship available per day) $2,500.00 Daily Breaks (one sponsorship available per day) $2,000.00 Logo on Daily Agenda (only 3 slots available) $1,250.00 Custom Sponsorship Opportunities Available (contact us with your ideas) TBD GRAND TOTAL $ * Consult the NASFM 2015 Annual Conference Sponsorship Guide for special benefits associated with each level of sponsorship. Due to the lead time required to produce special benefit opportunities and Exclusive Sponsor Add-On materials, the cut-off date is May 14, 2015 to receive special benefit opportunities or to include the Exclusive Sponsor Add-On as part of your contribution. Please fill out contact information on the following page. ***Please email your logo in an EPS format to: [email protected]*** CONTACT INFORMATION (PLEASE TYPE OR PRINT): Name: Sponsoring Company: Address 1: Address 2: City: State and Zip: Phone (W): E-mail: Platinum, Gold, Silver and Bronze sponsors, please list the item you’ll be donating to attendee tote bag: PAYMENT INFORMATION: Check Credit Card (Visa or MasterCard ONLY) CREDIT CARD INFORMATION (PLEASE PRINT): PLEASE NOTE – If paying by CREDIT / DEBIT card, a 4% convenience fee will be added to your total. Credit Card Type: Credit Card Number: Card Verification Number: Expiration Date: Name as it Appears on the Card: I authorize NASFM to charge (please fill in amount) to my credit card: Signature: Company: Billing Address: City, State Postal Code: Country: Phone Number/Fax: Email Address: Please send sponsorship form and payments to: National Association of State Fire Marshals Attention: Philip Oakes, 2015 Annual Conference Sponsorship P.O. Box 671 ▪ Cheyenne, WY 82003 Phone: (202) 737-1226 ext. 4; Fax: (307) 547-2260 We sincerely appreciate your generous support and commitment to NASFM’s Mission. Thank You!
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