Please fill out the form below and submit it to show your interest in becoming a sponsor of the 2012 Good Jobs, Green Jobs Regional Conferences. We will contact you to follow up on your interest.

Contact Name: *

Company or Organization: *

Address: *

Contact Email: *

Contact Phone: *

Fax Number:

Sponsorship Level

Please indicate your preferred level of sponsorship.

National Sponsorship Opportunities:

National Presenting Sponsor $100,000

National Platinum Sponsor $50,000

National Gold Sponsor $25,000

National Silver Sponsor $15,000

National Bronze Sponsor $5,000

National Supporting Sponsor $2,500

Select Regional Conference to Sponsor

Please indicate which Regional Conference you would like to sponsor (you may select more than one if you wish to sponsor more than one).

Regional Conferences:

South - Atlanta, GA on February 23 & 24, 2012

West - Los Angeles, CA on March 15 & 16, 2012

East - Philadelphia, PA on April 3 & 4, 2012

Midwest - Detroit, MI on May 10 & 11, 2012

Regional Sponsorship Opportunities:

Regional Presenting Sponsor $25,000

Regional Gold Sponsor $15,000

Regional Silver Sponsor $5,000

Regional Bronze Sponsor $2,500

Regional Friend Sponsor $1,000

Regional Listing Sponsor $500

I Cannot Attend But Wish to Contribute: $

Additional Comments:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 5 + 9 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Attachment	Size
2012 Good Jobs Green Jobs Sponsorship Brochure.pdf	1.57 MB