2024 Winter Meeting Sponsor Form

SPONSORSHIP FEE FOR PAELA’S 2023 WINTER MEETING IS $1,500 PER FIRM.
COMPANY NAME*
Please enter your company name.
Address*
Street Address Address Line 2 City/Town State / Province / Region ZIP / Postal Code
TELEPHONE NUMBER*
Example: (123) 456-7890
Name of Contact Person
Please input the name of the contact person.
First Last
Email of contact person*
Please enter the email address of the person of the desired person of contact.
WEBSITE*
Please enter the link to your website.
Thank you for your sponsorship!*

COMPANY REPRESENTATIVES
There is a $300 registration fee for each company representative you enter below to cover specific meals, breaks, etc. during the conference.*
NAME OF REPRESENTATIVE #1 ATTENDING*
First Middle Last Suffix
Representative #1 Title*
Representative #1 Email*
Would you like to add another representative?*
Please input the following information for the 2nd representative attending.

NAME OF REPRESENTATIVE #2 ATTENDING*
First Middle Last Suffix
Representative #2 Title*
Representative #2 Email*
Would you like to add a 3rd representative?*
Please input the following information for the 3rd representative attending.

NAME OF REPRESENTATIVE #3 ATTENDING*
First Middle Last Suffix
Representative #3 Title*
Representative #3 Email*
SPONSORSHIP AGREEMENT
Please print the attached PAELA Sponsorship Agreement, sign, scan and return to PAELA at efarrell@paela.info.*

GUEST (If any attending)
Guest, if attending, does not include a company representative. The $150 guest fee includes the reception.
GUEST FEES*
GUEST NAME

First Middle Last Guest of which company representative
PAYMENT INFORMATION
Total Registration Fees
$0.00
Hidden
Billing Address*
Same as company address?
Billing Address*
Same as company address
Street Address Address Line 2 City State ZIP Code
Company or Name on Credit Card*
Credit Card Details*
Card Details
Cardholder Name
DONATE A GIFT
If you would like to donate a gift for the opening reception, see below.
Will you be donating a gift?*
Description of gift