2013 Women's History Month Lunch Registration Form

2013 Women's History Month Lunch

Sponsorship and Exhibit Registration Form

Question Title

* 1. Contact Information

Name of Business/Organization *

Business/Org Address *

Business/Org Phone Number *

Email Address

Contact Person(s) *

Contact PHone Number *

Phone Number:

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* 2. Names of those attending lunch (for nametags)

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* 3. Event Sponsor Levels

Silver: Recognition in program $50

Gold: Recognition in program & 2 lunch meals $100

Platinum: Recognition in program & at event & 2 lunch meals $200+

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* 4. Exhibitor Space

Non-profit 501(c)(3) One-half exhibit table (4') Free

For-profit One-half exhibit table (4') $30

Non-profit 501(c)(3) & For-profit Full exhibit table (8') $45

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* 5. Lunch Purchase

($20 per meal) x _____ meals =

Special guest meals (donation of $20 per meal)

Reserved lunch table (meals) for 8

Name for table sign:

Total ($)

Please make your check payable to "City of Bloomington - Women's History Month Lunch"
For exhibit questions, contact Barbara McKinney at 349-3429 or mckinneb@bloomington.in.gov
For sponsorship/lunch questions, contact Sue Owens at 349-3468 or owenss@bloomington.in.gov