2008 Corporate Sponsorship Enrollment Form

Thank you for sponsoring CINA. Please fill out the form and click the Submit button to send the form. CINA's Sponsorship Director will contact you soon.

* indicates response required

Sponsorship Level*
Sign Up Date*
Company Name*
Company Address*
City*
State*
Zip Code*
Company Website Address*
Company Logo in jpg or gif format
(Limit to 140(W)x75(H) pixels)
NOTE: you can upload your company logo only if you have Microsoft (4.0 and greater), Netscape (3.0 and greater), and AOL (4.0 and greater) which support file upload feature
Company Business / Product / Service*
(Limit to 350 characters)
For CINA to Say Thanks to Company CEO
CEO Name
CEO Phone No.
CEO Email address
Please tell us how to contact you
Company Representative's Name*
Title*
Email*
Phone No.*
Fax No.*
Invoice Handling Instruction
Person to Receive Invoice (Att:)*
Email Address for Invoice*
Mailing Address for Invoice (if different from Company address)
Comments

* indicates response required