2017 Symposium Sponsorship Submission
Please mail the completed form, along with a check payable to Yao Yuan, to Yao Yuan, P. O. Box 9192, Gurnee, IL 60031-9192
SPONSORSHIP SUBMITTAL DEADLINE: April 21, 2017
Exhibitor / Sponsor Info:
Company Name: ____________________________________________________
Name of primary representative/contact: As to appear on the name badge (s) (Limit 2)
1)_______________________________________
2)_______________________________________
Mailing address: ____________________________________________________
City _________________State ________ Zip __________
Phone: (_______)_______-_____________ Fax: (_______)______-____________
Email : ___________________________________
Sponsorship Level (Please check One)
- Gold
- Silver
- Bronze
- Other request (Please specify):
- Contribution:
