Sponsorship Form

* Required fields.

Platinum – $3,500 – Two complimentary registrations, two golf registrations, and a co-sponsorship of the “NCSLA Banquet”.

Gold – $2,500 – Two complimentary registrations, two golf registrations, and recognition at the NCSLA convention.

Silver – $1,000 – One complimentary registration and recognition at the NCSLA convention.

Bronze – $500 – Recognition at the NCSLA convention.

COMPANY NAME *

CITY *

AGENCY STATE *

CONTACT NAME *

CONTACT EMAIL *

Sponsorship Level: *

PlatinumGoldSilverBronze

COMPLIMENTARY REGISTRANT 1 - NAME

COMPLIMENTARY REGISTRANT 2 - NAME

$0.00