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(* indicates an answer is required)
 
*.   Company Name:   
 
  .   Company Website:   
 
*.   Name and Title of Contact Person:   
 
*.   Daytime phone (+ extension) of contact person:   
 
  .   Email address of contact person:   
 
*.   Company mailing address:   
 
*.   City/Town:   
 
*.   State:   
 
  .   Zip code:   
 
*.   Please note that by registering to be a vendor or sponsor of our events and classes, you acknowledge and consent that photographs containing your company logo and/or booth space may be taken during the course of the event and may be used for multi-media purposes (including press, publications and website) by The Leadership Centre.

I would like to register for (please select one):
Platinum Level Sponsorship for FY 2011-2012: SOLD OUT
Gold Level Sponsorship for FY 2011-2012: $5,000.00/vendor (payable online or via check made out to "The Leadership Centre")
Silver Level Sponsorship for FY 2011-2012: $2,500.00/vendor (payable online or via check made out to "The Leadership Centre")
Bronze Level Sponsorship for FY 2011-2012: $1,000.00/vendor (payable online or via check made out to "The Leadership Centre")
Class Sponsorship for 1 class of your choice in the HOA Academy of your choice: $500.00/vendor (payable online or via check made out to "The Leadership Centre"--please specify the class you are sponsoring in your correspondence)
 
  .   So that we can best accommodate you, please let us know any additional comments or specific instructions that your company may have:
 

After clicking Submit below, the order/payment process will be handled by PayPal. Staff will contact you to follow up within 48 hours. For more info, view the Refund Policy.

 
    

 
 
The Leadership Centre   
Last update time: Oct 13, 2011 11:45 AM   
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