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Section 1 of 3
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1.
$500 - Bronze Sponsor
2.
$1,000 - Silver Sponsor
3.
$2,000 - Gold Sponsor
4.
$2,500 - Platinum Sponsor
5.
$5,000 - Corporate Sponsor - Full Event
6.
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Section 2 of 3
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Section 3 of 3
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Yes
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add "Other"
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Insights
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Please select Sponsorship Level
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Institution/Organization Information
First Name
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Last Name
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Title
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Email
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Phone Number
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Department
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Institution/Organization Name (no abbreviations)
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URL/Website (for marketing purposes)
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Billing Address
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City
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State
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Zip Code
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Acknowledgement
I acknowledge the above terms.
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