FL SAND Sponsor Registration Form 2023

Introduction

Thank you for your interest in sponsoring "Reunited: the 2023 Florida Self-Advocacy Conference."

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* Name of Sponsor/Organization

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* Contact Name and Title

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* Contact Phone

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* Contact Email

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* Sponsor/Organization Address

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

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* Sponsor level

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* How would you like to pay?

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* Do you plan to use your sponsorship exhibit space?

Yes

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* If you are not exhibiting, do you plan to send representatives to the conference?

Yes

Please list any organization representatives exhibiting and/or attending the conference using the form(s) below. If you do not know the information for your representative(s) at this time, please click the box at the bottom of the page. If you are not sending anyone, click NEXT at the bottom of the page.

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* Representative:

Name

Phone Number

Email Address

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* Representative:

Name

Phone Number

Email Address

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* OR Click here if:

I do not have my representative's information yet and would like you to contact me regarding this later.