11TH ANNUAL CALIFORNIA CHARTER SCHOOLS CONFERENCE


SPONSOR APPLICATION FORM


Organization Name: ______________________________________________________

Mailing Address: _________________________________________________________

City: _______________________________  State: _______  Zip: ________________

Key Contact Name: ______________________________________________________

Key Contact Title: _______________________________________________________

Phone: _____________  Fax: ______________  E-mail: _________________________

Booth Attendees Names: ________________________________________________

Organization Web Address: ________________________________________________

Do you need an electric outlet?   
 Yes      No

By: (please sign) ______________________________________  Date: ____________ 



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SPONSORSHIP SELECTION - SELECT ONE

q GOLD SPONSORSHIP - $10,000 (includes one booth space)

q
SILVER SPONSORSHIP - $5,000 (includes 20% discount on one booth)

q
MARCH 30th AWARDS DINNER - $3,500

q
MARCH 28th WELCOME RECEPTION - $2,500 (2)

q
MARCH 30th/31st STUDENT SHOWCASE/STUDENT SUMMIT - $1,500

q
MARCH 27th JOB FAIR - $1,000

q
CYBER CAFE AND HANDS-ON TECHNOLOGY LAB - IN-KIND

q
ATTENDEE TOTE BAGS - 1,500-2,000 IN-KIND/WITH PRINTED LOGO


BOOTH SPACE 

Please check the appropriate box below:

Booth fees - Each 8 x 10 booth space includes:
    * One table and 2 chairs
    * Electrical outlet (optional)
    * Box Lunch for 2 people on all 3 days of the conference

 

If Payment Received Before February 1, 2004

If Payment Received Between February 1 and February 29

If Payment Received After March 1

For-Profit

 $ 1,650 per booth

 $1,800 per booth

 $1,950 per booth

Non-Profit

 $ 750 per booth

 $1,000 per booth

 $1,150 per booth


How many booth spaces would you like? _____  X Fee Amount $__________

= Booth Space Amount $____________


 I would like to Reserve a Vendor Meeting/Presentation Space
 
$250 per 90 minute timeslot = Amount $ ____________

TOTAL AMOUNT INCLUDING SPONSORSHIP FEE:  $_______________

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CANCELLATION POLICY

Cancellation requests must be in writing to:

Cancellation requests must be received before the following cancellation deadlines:

  • On or before February 1, 2004 - 80% refund
  • After February 1 but before March 10 - 20% refund
  • After March 10 - No refund


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METHOD OF PAYMENT - SELECT ONE

 By Check (Mail Application)

Complete and sign the Application Form 
and mail with check payable to:

 By Credit Card (Fax Application)

 Visa  MasterCard

______________________________
Credit Card Number on above line

Expiration Date: ____ / ____     

______________________________

Authorized signature on above line

Complete and sign the Application Form and fax with credit card information to:

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