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Sponsorship Form
   
_________ YES!
I am interested in sponsoring PRSA-NCC in 2011
     
Total    
  Chapter Sponsorship Levels
_________
$4,000
PLATINUM
_________
$2,500
GOLD
_________
$1,000
BRONZE
     
 
Banner Advertising

_________
$500 
3 months
_________
$850
6 months
_________
$1600
1 year
     
 
Capital PR News Banner

_________
$500
Per Issue
_________
$2000
For Six Issues
_________
$3000
For Nine Issues
 

 
     
 
One-Time Event Sponsorship

_________
$375-1000
For more details on pricing and one-time event sponsorship benefits, download the 2011 Event Sponsorship Overview.
List preferred event/date below:
    _____________________________________
    _____________________________________
_________
TOTAL
 
 
Checks should be made payable to PRSA-NCC.
To pay by credit card, circle one:

     
AMEX VISA MASTERCARD
     
Name on Card: ___________________________________________
   
Account Number: ___________________________________________
   
Expiration Date: ___________________________________________
   
Signature of Cardholder: ___________________________________________
   
CONTACT INFORMATION
Name: ___________________________________________
   
Company: ___________________________________________
   
Address: ___________________________________________
       
Phone Number: ______________ Fax Number: ____________
   
E-mail: ___________________________________________
   
THANK YOU FOR YOUR SUPPORT.
FAX
TO 703-691-0866

OR MAIL THIS FORM TO THE CHAPTER OFFICE:
PRSA-NCC
10378 Democracy Lane, Suite A
Fairfax, VA 22030

   
 
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