2016 Annual Conference Sponsor & 2016-17 Corporate Sponsor Application

ISACS Annual Conference - "Doing, Designing, Connecting & Thinking 2" - Columbus, OH

Greater Columbus Convention Center
Thursday, November 3 ‐ Friday, November 4

As of August 26th, ISACS has reached its exhibiting capacity for the
2016 ISACS Annual Conference in Columbus, OH.

If you would like to be placed on the exhibiting wait-list
please contact Jacob Isaac (312-750-1190 or jacob@isacs.org).

Question Title

* 1. Annual Conference Sponsor (Select one if appropriate):

$5,000 - Chancellor’s Club

$3,000 - President’s Club

$1,500 - Head’s Club

$500 - Dean’s Club

I am not interested in Annual Conference Sponsorship

Question Title

* 2. Corporate Sponsor (Select one if appropriate):

$500 - Corporate Sponsor Fee (7/1/16– 6/30/17)

My company's Corporate Sponsorship fee is included in my Annual Conference sponsorship (Chancellor's Club, President's Club, and Head's Club)

I am not interested in Corporate Sponsorship

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* 3. The following company information will be used in all printed and web materials:

Company: *

Address: *

Address 2:

City: *

State: *

ZIP Code: *

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* 4. The following contact information will be used in all printed and web materials:

Name:

Title:

Website:

Email Address:

Phone Number:

Fax Number:

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* 5. Company description: (Limit description to 400 characters including spaces)

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* 6. Total Payment Due to ISACS:

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* 7. Please Select Payment Method:

Check - Please make check payable to ISACS and remit to ISACS, 55 West Wacker Drive, Suite 701, Chicago, IL 60601.

Credit Card - To pay by credit card, please submit this form and then call the ISACS Office at 312-750-1190 to process payment.

In-kind Donation - This option is only for those instructed by an ISACS Office staff member to select.

Question Title

* 8. Thank you for your participation as an ISACS Corporate Sponsor and/or Sponsor at the 2016 ISACS Annual Conference in Columbus, OH. Please indicate that you agree to the terms of this form (including payment).

I agree

I do not agree

Questions? If you have any questions, please call the ISACS Office at 312-750-1190 and ask for Jacob Isaac (jacob@isacs.org) or Karen Zeitlin (karen@isacs.org).

Thank you!

ISACS Development Team