2016 BASA School Facilities and Safety Conference

2016 BASA School Facilities and Safety Conference Sponsorship/Door Prize March 9 & 10, 2016 Doubletree Hotel-Worthington PLEASE EMAIL The COMPLETED FORM TO williams@basa-ohio.org Or Fax to 614-846-4081 NO LATER THAN January 15, 2016

Company/Organization ___________________________________________________________

Contact Name and Title ________________________________________________________________

Address ______________________________________________________________________________

City, State, Zip ________________________________________________________________________

Phone Number ____________________________Fax_________________________________________

Email ________________________________________________________________________________

Sponsorship Options:

□ $2,500 Full Sponsorship

□ $1,250 Co-Sponsorship

Breakfast: Wednesday, March 9

□ $750 Co-Sponsorship

Morning Break: Wednesday, March 9

□ $1,500 Full Sponsorship

□ $750 Co-Sponsorship

Afternoon Break: Wednesday, March 9

□ $2,500 Co-Sponsorship

Reception: Wednesday, March 9

□ $2,500 Full Sponsorship

□ $1,250 Co-Sponsorship

Breakfast: Thursday, March 10

Door Prize : My company wishes to donate the following item (s) as door prizes for the raffle drawing:

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