Please fill out the form below and submit it to show your interest in becoming a sponsor of the 2010 Good Jobs, Green Jobs National Conference. We will contact you to follow up on your interest.

Contact Name: *

Company or Organization: *

Address: *

Contact Email: *

Contact Phone: *

Fax Number:

Level of Sponsorship: *

Presenting Sponsor $100,000

Diamond Sponsor $50,000

Platinum Sponsor $30,000

Gold Sponsor $15,000

Silver Sponsor $5,000

Bronze Sponsor $2,500

Please indicate your preferred level of sponsorship. See the benefits of each at http://gjgj.reinventingthe.com/files/GJGJ%20Sponsorship%20Brochure%20FIN...

I Cannot Attend But Wish to Contribute: $

Additional Comments: