ONLINE REGISTRATION FORM TO BECOME PROGRAM SPONSOR
Program Sponsorship Includes: Logo on all promotional materials, Table to 10, and Full page ad.
Submit LOGO to Melissa Thompson at: firstname.lastname@example.org.
Pay by credit card or mail check to:
912 Silas Deane Highway, Suite 112
Wethersfield, CT 06109
Fields marked with * are required.
Your form submission WILL be encrypted using SSL to ensure your privacy.