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Sponsorship Commitment Form With Online Payment
Sponsor Name
(Required)
Please provide company information
exactly
as it should appear on conference materials.
Primary Contact
Contact Name
(Required)
First
Last
Contact Phone
(Required)
Contact Email
(Required)
Sponsor/Contact Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Marketing/Secondary Contact
Contact Name
First
Last
Contact Phone
Contact Email
Marketing/Contact Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Sponsorship Options
Specialty/Discipline
(Required)
Check all that apply.
Accounting
Banking
Business Valuation
Estate Planning
Financial Planning
Insurance
Law
Tax Preparation
Tax Planning
Trust Services
Wealth Management
Other
Other Specified
(Required)
Sponsorship Level
(Required)
Please select preferred level of support.
Diamond Sponsor - $20,000 (full payment)
Diamond Sponsor - $20,000 ($10,000 partial payment)
10 Year Celebratory Dinner - $10,000 (full payment)
10 Year Celebratory Dinner - $10,000 ($5,000 partial payment)
Gold Sponsor - $6,000 (full payment due now)
Silver Sponsor - $3,000 (full payment due now)
Booster - $2,000 (full payment due now)
10 Year Celebratory Cocktail Reception - $7,500 (full payment due now)
Half of the total cost will be charged immediately, with the remainder to be applied by January 13, 2023. Please contact us before then at
admin@floridataxinstitute.org
to set up second payment.
Exhibit Space
(Required)
Weill you be using the Exhibit Space?
Yes
No
Total
Payment
Credit Card
(Required)
Cardholder Name
Card Details
Agreement
(Required)
I agree to fully comply with the rules and regulations outlined within the sponsorship packet and authorize the debiting of the above credit card for all sponsorship fees.
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