Tech Symposium Sponsorship Request Form

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Company & Billing Information

Company Name:* If you do not see your company/organization in the list, please select Other and enter in the name.
Please CLICK HERE to renew your Corporate membership.

Please specify your Company Name:*

NOTE: Non-members are subject to an additional fee of $500 or 25% of the total sponsorship value, whichever is greater. To avoid this fee, consider renewing your Corporate membership or joining as a Corporate Member before submitting your Sponsorship Request Form.

Billing Company Name: *

Same as Company Name

Billing Company Email Address for Invoice:*

Billing Company Phone:*

Extension:

Address 1:*

Address 2:

City:*

State:*

Postal Code:*

Country:*

Upload Company Logo*:

Best View Image Size 300px x 300px (.jpg or .png)

Main Point of Contact (POC) Information

Main POC Name:*

Main POC Mobile Phone:*

Main POC Email Address:*

Marketing Point of Contact (POC) Information

Same as Main POC:*

Marketing POC Name:

Marketing POC Mobile Phone:

Marketing POC Email Address:

Additional Point of Contact (POC) Information

Additional POC Name:

Additional POC Mobile Phone:

Additional POC Email Address:

Sponsorship Opportunity Requested

PAYMENT & INVOICING

Payment Type*

Credit Card (Includes 2.9% Processing Fee) ACH Invoice/Check (Make checks payable to Air Traffic Control Association) Purchase Order

Subtotal ($):

Apply Coupon Code:

Discount Amount:

Non-Corporate Member Fee:

CCFee (2.9%) ($):

Total Amount Due ($):

Refund Policy

All sponsorships and advertisements are NON-Refundable

Sponsorship Request Information

Thank you for your support of the 2025 Technical Symposium. By submitting this form, you are confirming your sponsorship selection and accepting the 2025 ATCA Event Terms and Conditions

Name:*

Title:*

Signature:*

Response Reason

Transaction ID

Payment Status

Add remark

I agree with the Terms and Conditions outlined in this agreement.

Your request is not considered complete until you click “SUBMIT FORM”.