Sponsorship Order Form - 2018
  1. Sponsorship Type

    Exclusive sponsorship of any of the below events/items includes a complimentary exhibit table ($600 value).

  2. Exclusive Sponsorship Types(*)












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  5. Other Options(*)




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  6. Will you need electrical for your exhibit table?(*)
    Invalid Input
  1. Sponsor Information

    This information will be used for sending a confirmation, receipt, and for any questions regarding the sponsorship.

  2. Sponsoring Organization(*)
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  3. Contact Name(*)
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  4. Contact Company (if different from sponsor organization)
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  5. Address(*)
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  6. City(*)
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  7. State(*)
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  8. ZIP Code(*)
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  9. Phone(*)
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  10. E-Mail(*)
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  12. Sponsor Website URL (for website link)(*)
    Invalid Input - http(s):// required
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  14. Sponsor Representatives Information

    Please list the full names and email addresses of the personnel who will be representing your company at your exhibit table only (if applicable). If this information is unknown at the time that you are submitting this form, please just put TBD in the name field and then send the information to info@ptagonline.org once known.

  15. Table Personnel (1) Full Name(*)
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  16. Table Personnel (1) Email
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  17. Table Personnel (2) Full Name
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  18. Table Personnel (2) Email
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  19. Table Personnel (3) Full Name
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  20. Table Personnel (3) Email
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  21. Table Personnel (4) Full Name
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  22. Table Personnel (4) Email
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  23. Terms & Payment

    If submitting your payment via mail, please be sure to include a copy of your confirmation email so the payment can be properly credited.
  24. Terms & Conditions(*)
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  25. Total Amount Due
    0.00 USD
  26. Payment Type
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