CNREP 2013 Sponsorship

First Name *

Last Name *

Email Address *

Mailing Address Line 1 *

Mailing Address Line 2

City *

State *

Zip Code *

Phone *

Company Name *

Is your mailing and billing address the same? *

Yes

No

Billing Address Line 1 *

Billing Address Line 2

City *

State *

Zip Code *

Please select from the below sponsorships:

Premier Partner ($5000) Highest level of support. Prominent logo placement in conference program, website, and recognition at events. Opportunity to underwrite special sessions, meals, or receptions.

Sponsor ($2500) Logo placement in conference program, website, and events. Opportunity to co-sponsor special sessions, meals, or receptions.

Exhibitor ($1000) Includes logo placement and recognition in conference program.

Supporter ($500) Includes recognition in conference program.

How will you be paying for this sponsorship?

Check

Credit Card

**Please make checks payable to: LSU Foundation

Louisiana State University

238 Sea Grant Building

Baton Rouge, LA 70803

For our accounting department, please write on check memo: CNREP 2013 #102671

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *