Virginia Capital Access Forum 2006
Sponsorship Registration
Please print or type the following information on the Sponsorship
Registration form for each person receiving a complimentary registration
per your indicated sponsorship level. This form must be completed for
each complimentary person to secure their registration at the Forum.
Name:_____________________________________________________
Company:__________________________________________________
Tax ID #/SS#:________________________________________________
Address:___________________________________________________
City:_____________________________State:__________Zip:________
Phone:_________________________ Fax:________________________
Email:______________________________________________________
Company Web site URL:________________________________________
Signature:_______________________________ Date:_______________
Please make your check payable to: Treasurer of Virginia Tech, CPE
and attach a summary of your company (75 words or less), and a camera ready logo
and return
with agreement to:
Kelly Obenauer, Program Coordinator
Virginia Polytechnic Institute & State University
702 University City Blvd.
Blacksburg, Virginia 24061-0364
Ph: (540) 231-3144 Fax: (540) 231-9886
E-mail: kobenaue@vt.edu
Web: http://www.conted.vt.edu
|
About the Forum |
Reception/Dinner |
Forum Schedule |
About the Speakers 
