2020 TETA Corporate Partnership Promotional/Advertising Package Application
Tennessee Educational Technology Association
Application for Corporate Partnership Promotional/Advertising Package
January 1, 2020- December 31, 2020

Membership Contact Information
This is your contact information. Billing contact information is listed below. If this information is the same, please check the box below.
Company Name *
Your answer
Company Website *
Your answer
Does Your Company have a E-Rate SPIN number? *
Please input SPIN number below. If you are a non E-rate vendor, please respond with (N/A).
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Phone *
(xxx) xxx-xxxx
Your answer
FAX *
(xxx) xxx-xxxx
Your answer
Representative 1
Your answer
Email 1
Your answer
Representative 2
Your answer
Email 2
Your answer
Representative 3
Your answer
Email 3
Your answer
Representative 4
Your answer
Email 4
Your answer
Representative 5
Your answer
Email 5
Your answer
Representative 6
Your answer
Email 6
Your answer
Type of Partnership Package you are purchasing: *
Required
A la Carte Options--TETA Membership or Promotional Package is required for purchasing any a la carte options
If adding any A la Carte Options, please check below:
Billing Info
If billing information is the same as contact information for Representative #1 above, please check the box and do not fill out the rest of this form.
Bill To:
ie: Account Payable
Your answer
Company
Your answer
Address1
Your answer
City1
Your answer
State1
Your answer
ZIP1
Your answer
Phone of billing contact
(xxx) xxx-xxxx
Your answer
FAX1
(xxx) xxx-xxxx
Your answer
Email of billing contact *
Your answer
Please mark method of payment
Invoice will be sent to the Accounts Payable person listed above. A 3% surcharge will be added for credit card use.
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