Sponsor

5th Annual Yuma Ammonia Safety Day

Sponsor Commitment form

February 19, 2008 - Yuma Civic Center

All sponsors are recognized for their support on the poster(s) we display at the Civic Center the day of the training. In addition the separator pages between technical talk handouts is the same poster. There will be a sponsor’s page on the website where all sponsors will be recognized from the time of commitment through end of December 2009.

Silver level sponsors and above will be recognized on the home page of the website and have the opportunity to provide a link from the Yuma Ammonia Safety Committee website to their website.

Please use the form below to indicate your sponsorship selection. This form will be emailed to the registrar who will contact you for your billing information (we will invoice to make it easier for you) and to get your logo to place in its place of honor on the sponsor’s page.

This is not a registration to attend the training -

Sponsorship opportunities:

First Name:
Last Name:
Email Address:
Company Name:
Mailing Address 1
Mailing Address 2
Company City:
Company State:
Company Zip
Company Phone:
Company Fax
Select Sponsorship	$1,100 Platinum Sponsor $750 Gold Sponsor $500 Silver Sponsor $250 Bronze Sponsor Sustaining Sponsor / Amount