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Spark the Change Conference Sponsorship
After you complete the Sponsorship Registration form, we will contact you verifying your sponsorship. If you have any questions. please contact us at (972) 233-9107 x222 or
admin.dal@dyslexiaida.org
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* Indicates required question
Sponsor Name (as it will appear on printed materials)
*
Your answer
Level of Sponsorship
*
Please enter the product number
Diamond - $5000 (1 available)
Platinum - $3000
Gold - $2000
Silver - $1000
Bronze - $500
Ad only/ No Table (A Dallas IDA board member will contact you with the details.)
Will you need an electrical outlet for your exhibit space?
*
Yes
No
Required
Sponsor Contact Name
*
Your answer
Sponsor Address
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Your answer
Phone Number
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Your answer
Email
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Your answer
Names & email addresses of individuals attending the Spark the Change conference sessions.
*
Please place each individual & email on separate lines.
Your answer
I require a purchase order for my Sponsorship
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Yes
No
Credit Card Payment
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Yes
No
Credit Card Number
Your answer
Credit Card Expiration Date (mm/yy)
Your answer
Credit Card Security Code
Your answer
Name on credit card
Your answer
If you are paying via credit card, please help ensure that 100% of your donation goes to the Dallas IDA by authorizing a 3% surcharge to cover credit card transaction fees.
Yes
No
Clear selection
Payment by check
*
Make checks payable to Dallas IDA and mail to Dallas IDA Conference Sponsorship 14070 Proton Rd., Suite 100 Dallas TX 75244
Yes
No
Thank you for your support!
The Spark the Change Conference can only be a success with your support and partnership.
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