2019 NTC Featured Member of the Month Interest Form
Thank you for your interest in being a 2019 NTC Featured Member of the Month! At this time we are taking reservations for January - June of 2019. Please complete the short form below and we will be in touch with you shortly. Please contact Dominique Butts, dominique.butts@technologycouncil.com with any questions.
Contact First & Last Name *
Your Information (Please submit the information for the person completing this form)
Your answer
Contact Email *
Please submit the email for the person completing this form
Your answer
Name of Company *
Your answer
Month you are most interested in being a Featured Member during? *
Anything else we should know?
Your answer
I agree, if selected to be a NTC Featured Member of the Month to pay the $1,500 sponsorship *
Required
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