DHI Manufacturer Sponsorship Registration Form


CONTACT INFORMATION

Company Name:
First Name:
Last Name:
Address:
Suite:
City:
Province:
Postal Code/Zip Code:
Phone: (Please include area code)
Email:

Please indicate your Level of Sponsorship: *

SOLD OUT! Premier Level Sponsorship: $15000

SOLD OUT! Platinum Level Sponsorship: $8500

SOLD OUT! Gold Level Sponsorship: $5000

Silver Level Sponsorship: $3000

SOLD OUT! Exhibit and Welcome Reception Level Sponsorship: $1500

Generous Donation Level Sponsorship: $500


PAYMENT INFORMATION

Subtotal: 0.00
Tax: 0.00
Total: 0.00
Payment Method:
Name on Card:
Credit Card Number:
Expiration (MM/YYYY): /
CVC:



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