AeA "Spirit
of Endeavor" Awards Program
September 14, 2006
Fox Theatre - Atlanta, GA
6:00 p.m.
Sponsorship Form
You may return this completed form via fax to 678.585.9657.
(AMEX/VS/MC accepted) or you may mail this form with your check made payable to AeA
to the following address:
AeA
3700 Mansell Road
Suite 140
Alpharetta, GA 30022
Attn: Regina Maddox
__________________________________________
Check Sponsorship Level:
Premier - $6,000
SOLD
Reception - $5000 _____ (One Available)
Platinum - $4,000 _____ (Five Available, Four Left)
Gold - $2,000 _____
Silver Participants - tables of ten may be
purchased for $1,000. If you wish to purchase a table in lieu of a
sponsorship please check here. _____
_______________________________________________
Select One Award (For Premier and Platinum Sponsors):
Outstanding Leadership _____
Community Service _____
Technology Innovation _____
Educational Leadership by a Company _____
Technology Entrepreneur _____
Emerging Business _____
Name _________________________________________
Email _________________________________________
Title __________________________________________
Company ______________________________________
Address _______________________________________
City __________________________________________
State _______________Zip _______________________
Phone ________________________________________
Fax __________________________________________
Credit Card # __________________________________ Exp. Date _______
Name on Card _________________________________
Individual tickets will be available for purchase at a later date.
The price per individual ticket will be $100.00 per person.
This page was last updated on 06/09/06.
Copyright © 2002 American Electronics Association. All rights reserved. |
About AeA
) indicate exclusive features available to AeA Members.
