2018 Spring ICIMA Sponsor Registration Form
Event Timing: May 17, 2018

Event Location: Champaign County
Event Address: 1776 East Washington Street Urbana, Illinois 61802-4581
http://www.co.champaign.il.us/HeaderMenu/Home.php

Contact us at 630-444-3080 or laskycharles@co.kane.il.us

Cost: $600 per vendor plus $50 per person for dinner (one dinner included with sponsorship)

Sponsorship provides vendors a great opportunity to connect during the social hour and dinner with key players from county IT departments from throughout the state of Illinois.

Email address *
What is ICIMA
The Illinois County Information Management Association (ICIMA) is comprised of Information Technology Directors and/or senior staff members from Information Technology Departments (non-elected office holders) for County through out the state of Illinois. The organization was born out of a strong need to provide a forum for the exchange of technical information, skill sets, and ideas. As a professional group, ICIMA strives to increase the level of government technical services that are provided to the citizens of Illinois through enhanced utilization of hardware, software, telephony, security implementations and measures, as well as application development. ICIMA focuses on sharing technical issues that are exclusively related to government information processing and automation.
Sponsor Information
Company Name *
Your answer
Contact Name *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
Description of Products and/or Services Offered *
Your answer
Number of people attending Dinner on May 17 *
Your answer
Names of people attending Dinner *
Your answer
Payment
$600 per vendor plus $50 per person for dinner (one dinner included with sponsorship)
Enter the total amount of your sponsorship: $600 plus $50 per person attending dinner (one dinner is included in sponsorship) *
Your answer
The preferred payment method is by credit card. A payment request will be emailed to you from PayPal for the amount of your sponsorship. A PayPal account is not required for credit card payments.
How will you be paying for the sponsorship? If for some reason you are unable to pay by credit card, please email select alternate payment method *
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