Sponsor Registration

All fields marked with an asterisk (*) are required

Fee Selection

Title Sponsor ($20,000.00)  SOLD OUT!
Elite Sponsor ($13,000.00)  SOLD OUT!
Opening Social Event Sponsor ($8,000.00)  SOLD OUT!
Attendee Welcome Bags ($4,500.00)  SOLD OUT!
Name Badges & Branded Lanyards ($4,500.00)  SOLD OUT!
Speaker of choice & Luncheon Sponsor ($4,000.00)
Registration Desk ($4,500.00)  SOLD OUT!
Hotel Room Wi-Fi Sponsor & Room Drop ($3,000.00)
Keynote & Plenary Session Sponsor ($2,500.00 - 3,500.00) *please contact Jennifer at jtraer@acsess.org to discuss pricing options
Learning Sessions ($2,500.00)
Breakfast & Coffee Breaks ($4,000.00 - $1,000.00) *please contact Jennifer at jtraer@acsess.org to discuss pricing options
Attendee Directory ($1,500.00)  SOLD OUT!
Brand Exposure Package (Negotiable) *please contact Jennifer at jtraer@acsess.org to discuss pricing options
Conference Supporter ($1,000.00)

Contact Information

Title:

First Name: *

Last Name: *

Company: *

Address: *

Suite #:

City: *

Province: *

Postal Code/Zip Code: *

Phone: (Please include area code) *

Fax: (Please include area code)

Email: *

PAYMENT INFORMATION

Subtotal:

$0.00

Tax:

$0.00

Total:

$0.00

Payment Method:

Name on Card: *

Credit Card Number: *

CVC: *

Expiration (MM/YYYY): *

Sponsor Registration

Fee Selection

Contact Information

PAYMENT INFORMATION

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