HMEIC Sponsorship Form

"*" indicates required fields

Company Name*

Company Contact*

First Name Last Name

Company Contact Title*

Company Contact Email*

Company Website*

Company Description

Social Media URLs

Sponsorship Opportunities*

Diamond Sponsorship Registrants

Add up to 8 additional registrations

First Name

Last Name

Title

Platinum Sponsorship Registrants

Add up to 6 additional registrations

First Name

Last Name

Title

Gold Sponsorship Registrants

Add up to 4 additional registrants

First Name

Last Name

Title

Silver Sponsorship Registrants

Add up to 2 additional registrants

First Name

Last Name

Title

Bronze Sponsorship Registrants

Add up to 1 additional registrants

First Name

Last Name

Title

Charitable Donation Amount*

Company Logo

Accepted file types: ai, eps, Max. file size: 100 MB.

Method of Payment*

Payment instructions will be sent to the email address you have provided.

Wire Transfer

Check

Special Requests or Additional Information