The U.S. – Cuba Agricultural/Wood/Medical Products Conference
Sponsorship Agreement*

Sponsorship Group/Organization: ______________________________________________________________________________________

Contact Name: ______________________________________________

Title: __________________________________________________

Address: ________________________________________________________________

State/Prov.: _________________________________________________ 

Postal Code: ___________________________________________

Country: ____________________________________________________

E-mail: ________________________________________________

Organization name as it should appear in publications and signage:

___________________________________________________________________________

Please mark you preferences for sponsorship:
 
[  ]  Premier Sponsor $25,000 
[  ]  Main Sponsor $15,000
[  ]  Reception/Break Sponsor  $15,000
[  ]  Associate Sponsor $7,500
[  ]  Agency/AFBF & NASDA Chapters $5,000
[  ]  Conference Totebag Sponsor  $10,000

Sponsorship levels include benefits listed in this brochure.  Each sponsorship requires a 50% deposit at time of agreement.  Remaining balance will be invoiced and is due 30 days from date of agreement.
 
Do you wish linkage to the conference Web site:

[  ]  Yes, URL _____________________________________________ 
[  ]  No

Webmaster contact name: ________________________________ Phone No.: (_____) _________________

How many company representatives and clients do you anticipate will attend? _____
 
Indicate type of payment: [  ]  Check  [  ]  Bank Wire  [  ]  Credit Card

If paying by credit card, please complete the following information:

Card Type:  [  ]  Visa  [  ]  MasterCard  [  ]  American Express  Amount: $______________
Name on the card: ___________________________________ Signature: _____________________________
Card Number: _______________________________________ Expiration Date: ________________________

If paying by bank wire, remit funds to:

SunTrust Bank, Atlanta, Georgia, USA:  ABA# 061000104, account 4000740318


Make all fees payable to: Conway Data, Inc.


Mail or Fax this form to
Conway Data, Inc.
35 Technology Park, Suite 150, Norcross, GA  30092 USA
Fax: 1-770-263-8825        
Tel: 1-770-446-6996

*Benefits are based on current program format and may vary if changes occur.  Please mark your preferences for sponsorship.  All sponsorship levels will be granted based on availability, date of receipt of deposit and acceptance by Conway Data, Inc.

In the unlikely event the conference is cancelled, all sponsorship and registration fees will be fully refunded.

All transportation, hotels and other third party arrangements are not covered by this agreement.

For Office Use Only
  Accepted by: ___________________________________ Date: ____________________________
       Authorized WDF Signature