Vendor Sponsorship Form

I would like to be a sponsor at:

_______ A multi-site breakfast (breakfast is only once per year, January or February, with a dinner meeting the other month). I want the following sites:

_______ Northampton

_______ Marlborough

_______ Halifax

_______Peabody

_______ A Chapter dinner meeting; specify meeting date(s) or Full Season (10% discount): ____________

_______ The Chapter's Fall Symposium (all day)

Dates can be found on the Chapter website as they become determined. Dinner meeting dates are typically January or February (whichever month is not the month of the multisite breakfast), late April, early June, early September, late October, and late November.

• $125/site at annual scattered site breakfast meeting
  
  
• $325/meeting at the NAELA dinner meetings
  
  
• $500 Fall Symposium

Please type or print:

Contact person: ___________________________________________________

Organization/Company Name: ________________________________________

Mailing Address: __________________________________________________

City:___________________________ State:_____________ Zip code:_______

Phone: ___________________ Fax:________________ E-mail:_____________

Describe the product or service your company provides:

___________________________________________________________________________________________________________

Names of company representative(s) who will staff your table:

1. ______________________________
   
   
2. ______________________________

Please print this form and mail to:

Massachusetts Chapter, NAELA
c/o CompuWord
99 Bellingham Road
Chestnut Hill, MA 02467

You can also pay by credit card. We accept American Express, MasterCard, and Visa.

You can email your credit card payment to: CompuWord@aol.com or fax it to 617-734-9758.

Card Number: ___________________________ Expiration Date: ___________________________

Billing Address: ___________________________

City: ___________________________

State: ___________________________

Zip: ____________________

Signature: ___________________________

For more information, call our Chapter Administrator (CompuWord) at 617-566-5640.

I have enclosed check # _________________ in the amount of $_______________ (Make checks payable to Massachusetts Chapter, NAELA)

Signature __________________________ Title ______________ Date ____________

NOTICE: Mass Chapter NAELA reserves the right to decline any sponsor or sponsorship materials for any reason.