Choose your sponsorship level below. All payments are due by January 31, 2017. I would like to participate in the 2015-2016 Alabama Chapter Partnership Campaign at the level of:* Platinum Partner ($1350) ($1050 if payment if received by January 7, 2017) Gold Chapter Sponsor ($1000) Silver Chapter Sponsor ($750) Bronze Chapter Sponsor ($400) A LA CARTE (Event) Yes! I'd like to join a committee! If Platinum Partner, please list company representative's names for Platinum sponsor badges.A La Carte Sponsorships* Codes Seminar Sponsor ($750) Student Day Sponsorship ($200.00) Annual Lunch Sponsor ($1,000.00) Contact InformationName* First Last Title*Company*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code FaxEmail* Your Selected SponsorshipPlatinum Sponsor Price: $1,350.00 Gold Chapter Sponsor Price: $1,000.00 Silver Chapter Sponsor Price: $750.00 Bronze Chapter Sponsor Price: $400.00 Codes Seminar Sponsor Price: $750.00 Student Day Sponsorship Price: $200.00 Annual Lunch Sponsor Price: $1,000.00 Total Sponsorship Investment $0.00 EmailThis field is for validation purposes and should be left unchanged.