Online Exhibitor/Sponsor Application & Contract

Fields in bold are required.
EXHIBITOR/SPONSOR INFORMATION
Name:
Title:
Company Name:
Address:
City:
State:
Zip Code:
Country:
Telephone:
Fax:
Email:
Web Site:
SPONSORSHIP OPTIONS
Please check your choice of sponsorship level:
Principal Sponsor $8,000 Leadership Sponsor $5,000 Supporting Sponsor $2,500 Non-Profit Sponsor $1,500 Reception Sponsor October 2 $5,000 Tote Bag Sponsor $5,000 Lanyards Sponsor $2,500 Diversity Expert Panel Sponsor $5,000 Full page ad in program & Web $1,000 Exhibitor $200 Half page ad in program & Web $750 Tote Bag Inserts $200 each
Exhibitor contact: Please indicate name and contact information for person responsible for exhibitor arrangements.
Name:
Title:
Telephone:
Fax:
Email:
PAYMENT
A deposit of 50% of sponsorship and/or exhibit space cost is due with your reservation application. A 50% deposit of sponsorship and/or exhibit space cost is due with your application. The balance is due on or before September 17, 2011. Deposits and any payments made after September 17 are non-refundable.
Amount: $
I'll mail a check. Payable to: Workforce Diversity Network Mail payment to the: Workforce Diversity Network 150 State Street, Rochester, NY 14614     Charge to: MasterCard   Visa
Account No:
Expiration Date:
Security Code
Name as it appears on card:

FORMS TO FAX OR MAIL
Exhibitor Application to Fax or Mail (PDF)
Convention Center Forms, Rules and Regulations (PDF)

CANCELLATION POLICY
A 50% deposit of sponsorship and/or exhibit space cost is due with
your application. The balance is due on or before September 17, 2011.
Deposits and any payments made after September 17 are non-refundable.

QUESTIONS OR MORE INFORMATION
Workforce Diversity Network
Attn: Michele Hefferon
Rochester Business Alliance
150 State Street
Rochester, NY 14614

Phone: 585/256-4614
Fax: 585/244-4864

Diversity 2011 Sponsors

Principal Sponsors

Leadership Sponsors

Supporting Sponsors

Non-Profit