MARC 2010 Sponsor Form

* Company

* First Name

* Last Name

* CSI Member

Yes

No

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

CSI Chapter(s) your company is affiliated with (if any):

Event Sponsorships

Captain Sponsor ($1,000.00)

Commander Sponsor ($750.00)

Lieutenant Sponsor ($500.00)

Ensign Sponsor ($250.00)

Seminar Supporter

Literature & Logo/Banner in Seminar Room ($125.00)

Program Advertisements

Full Page Ad ($200.00)

Half Page Ad ($100.00)

Quarter Page Ad ($75.00)

Website Advertisements

Primary Banner ($200.00)

Standard Banner ($100.00)

Logo ($75.00)

* Indicates Response Required