Forum 2012 Sponsor Brochure

8/3/2019 Forum 2012 Sponsor Brochure

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2012

FORUM

InterAction

ENGAGE LEARN BUILD

April 30-May 2Crystal Gateway Marriott, Arlington, VA

S P O N S O R S H I P I N F O R M AT I O N


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An Invitation to Sponsorship

As a major partner in the work to end poverty and respond to disasters worldwide, we invite youto become a sponsoring partner or the 28th annual InterAction Forum. At this unique event, the

development community and an extensive network o leaders rom many sectors will work on

common solutions to some o the worlds most pressing issues. These partnerships will maximize

the potential o our work to improve the lives o the worlds poor and marginalized.

At the InterAction Forum, you will have the opportunity to engage directly with the leaders o our

member organizations, nearly 200 o the most eective and ethical nonprots currently working

work with communities worldwide, saving lives and improving the human condition, including

in those areas where you operate. The Forum brings together over 1,000 humanitarian and

development proessionals; decision- and opinion-makers representing the international nonprot

community; representatives rom the government, corporate and philanthropic sectors; andhundreds o peers who share our interests, commitments and challenges. It eatures thought-

provoking plenary sessions as well as technical and best practice workshops led by more than

100 experts rom around the world.

InterActions annual Forum provides an excellent platorm or the NGO community, the

government, corporations, philanthropists and civil society to discuss issues o critical

importance to the ever-changing development landscape. The Forum acilitates the exchange

o ideas and allows space or diering perspectives and mandates, all with a common goal to

improve the lives o the worlds poorest and most vulnerable people. InterAction and its unique

network o partners are all dedicated to creating a peaceul, just and prosperous world with

inclusive and sustainable communities.

Forum sponsors are recognized as leaders with the InterAction community, not only or

their nancial support but also or the signicant value added by their active engagement in

Forum workshops and plenary sessions. Previous sponsors include: The Bill & Melinda Gates

Foundation, UPS, the Millennium Challenge Corporation, Rockeeller Financial, International

Relie and Development, Islamic Relie, CHF International, Buddhist Tzu Chi Foundation, Garda

Worldwide, DuQuesne University, Plan USA and CivicActions.

We invite you to review the inormation ound in this brochure and welcome the opportunity to

discuss how we can tailor a package that ts your budget and interests.

Please visit www.interaction.org/forum-2012 or contact

Taina Alexander ([email protected], 202-552-6529) or

Barbara Wallace ([email protected], 202-552-6552) for more information.

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Corporate/Government Nonmember Nonprot InterAction Member

Diamond Level $ 100,000 Diamond Level $ 90,000 Diamond Level $ 80,000

Platinum Level $ 75,000 Platinum Level $ 60,000 Platinum Level $ 50,000Gold Level $ 50,000 Gold Level $40,000 Gold Level $ 30,000

Silver Level $ 25,000 Silver Level $ 20,000 Silver Level $ 15,000

Bronze Level $ 15,000 Bronze Level $ 10,000 Bronze Level $ 5,000

We oer special packages with dierent levels o support that provide excellent visibility and acknowledgement to your organization.

Sponsorship Opportunities

BRONZE LEVEL PARTNERBronze Level Partners will receive the ollowing sponsorship benets:

One single tabletop exhibit (6-oot skirted table with back drape,

two chairs and one wastebasket).

A pre-event attendee registration list as well as a post-event

registration list will be emailed to sponsors. Your organization

description will be included in the Forum Program (150 words max).

Full conerence registration or two organization representatives.

Your organizations logo and a link to its website will be included on

the InterAction website.

A fyer (provided by you no later than April 23) will be included in all

conerence attendee tote bags.

SILVER LEVEL PARTNERSilver Level Partners will receive all o the Bronze Level Partner benets

and the ollowing additional sponsorship benets:

One o the ollowing (or similar) items, which must be provided to us

no later than April 23, 2012, will be placed in the attendee tote bags Ballpoint Pen Flash Drive

Note Pad Calculator

Your organizations description will be added to the Forum Exhibitor/

Sponsorship section o InterActions website. Your organization will receive one hal-page, ull-color advertisement

in the Forum-recap issue o Monthly Developments Magazine

(artwork due June 1).

GOLD LEVEL PARTNERGold Level Partners will receive all o the Bronze Level Partner benets

and the ollowing additional sponsorship benets:


no later than April 23, 2012, will be placed in the attendee tote bags. Ballpoint Pen Flash Drive

Note Pad Calculator

Your organizations banner will be displayed and your organization

recognized during any one reception at the conerence, provided we

receive your sponsorship and logo by March 15, 2012. Your organizations description and up to three photographs will

be included on the Forum Exhibitor/Sponsorship section o the

InterAction website.

Your organization will receive one ull-page, ull-color advertisement



PLATINUM LEVEL PARTNERPlatinum Level Partners will receive all o the Bronze Level Partner

benets and the ollowing additional sponsorship benets:


no later than April 23, 2012, will be placed in the attendee tote bags.

Ballpoint Pen Flash Drive

Note Pad Calculator

Your organizations banner will be displayed and your organization

recognized during any one reception at the conerence, provided we

receive your sponsorship and logo by March 15, 2012.

Your organizations logo, description and hyperlink to its website,

along with up to three photographs, will be posted on the Forum

Exhibitor/Sponsorship section o the InterAction website.




DIAMOND LEVEL PARTNERDiamond Level Partners will receive all o the Bronze Level Partner

benets and the ollowing additional sponsorship benets:

Your organizations one-color logo will be included on each

attendees Forum tote bag, provided we receive your sponsorship

and logo by March 15, 2012.

Your organizations name and logo will be displayed on a large

screen and your organization will be recognized at the plenary

dinners throughout the conerence.

Your organizations logo, description and hyperlink to its website,along with up to three photographs and/or a short embeddable

video, will be included on the Forum Exhibitor/Sponsorship section

o the InterAction website.




ADDITIONAL SPONSORSHIP OPPORTUNITIESWe are happy to discuss a tailor-made sponsorship package that

delivers the best value or your money. Some options could include

special events, scholarships and technology options. Please contact

Taina Alexander at [email protected] or urther details

about these opportunities.

SCHOLARSHIP FUND OPTIONNew this year, sponsors can designate 10%o their sponsorship

or InterActions scholarship und. InterAction will use the und to

assist both young proessionals with a career interest in international

development and InterAction member sta rom the Global South

to attend Forum 2012. Attending the Forum will provide numerous

opportunities to learn, network and engage on issues o critical

importance to our community.

You will be able to opt into contributing to our scholarship und by

ticking a box in the registration orm at the back o this brochure.

Please contact Taina Alexander at [email protected] or

urther details about these opportunities.

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The recognition opportunities vary by sponsorship level (see

page 3) and include exhibit and advertising space, and other

recognition options. We invite you to register as a sponsor as

early as possible or maximum visibility. To be listed in the Forum

program, sponsors must register and submit their logo and 150word description beore March 15, 2012.

Special activities and networking opportunities will take place both

in and adjacent to the exhibit hall, allowing or more visibility and

greater opportunities or inormation-sharing and promotion. As

part o our eorts to improve your visibility, we hope to have the

ollowing additional activities to draw attention to the exhibit halls:

Monday, April 30Networking Reception and Scavenger Hunt

Tuesday, May 1Artisan Trade Fair

Wednesday, May2Networking Breakast and Artisan Trade Fair

Recognition Opportunities

Exhibit TimesSET UP: Monday, April 30, 12 p.m.

TEAR DOWN: Wednesday, May 2, 12 p.m.

Exhibits Open

Monday, April 30 4:30-8 p.m.

Tuesday, May 1 4-7:30 p.m.

Wednesday, May 2 8 a.m.-12 p.m.

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As a cost-eective way to reach the over 1,000 attendees at the InterAction

Forum, exhibitors may purchase advertising space in the ocial conerence

program. Please tick the corresponding box on the registration orm toreserve your space. Artwork should be sent to Zoe Plaugher at zplaugher@

interaction.org by March 15.

Advertise in the Forum 2012 Program

Size Dimensions Price

1/4 Page 3.75 x 5 $500

1/2 Page 7.5 x 5 $750

Full-Page 7.5 x 10 $1000

Format.ti or .pd les

Color modeCMYK

Resolution300 dpi (minimum)

Payment must be received in ull at the time o registration.

We also encourage you to submit an advertisement to InterActions magazine, Monthly Developments. I you opt to

advertise in the special May issue to be distributed at the Forum, please tick the corresponding box on the registration

orm and send your artwork to Zoe Plaugher at [email protected] byApril 1.

Note: Complimentary advertising space in Julys Forum-recap issue o Monthly Developments is included in some

sponsorship packages, but sponsors may wish to purchase additional advertising in the May issue that will be

distributed at the Forum itsel. We oer a discount i you choose to run in multiple issues o Monthly Developments

throughout the year.

Advertise in Monthly Developments Magazine

Size (trim size = 8.375 x 10.75) Dimensions Price

Full-Page (centered) 7.125 x 9.5 $2175

Full-Page (including .125 bleed) 8.5 x 10.875 $2175

1/2 Page 7.125 x 4.626 $1315

1/3 Page (square) 4.5 x 4.5 $1090

1/3 Page (vertical) 2.25 x 9.5 $1090

1/4 Page 3.5 x 4.625 $915

Format.ti or .pd les

Color modeCMYK

Resolution300 dpi (minimum)

Payment must be received in

ull at the time o registration.

Advertising Opportunities

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Exhibitor Equipment and FeesInterAction Members

Options Fees

Single Tabletop $820

Double Tabletop $1,120

Booth Pipe & Drape $1,470

Nonmember Nonprot

Options Fees

Single Tabletop $1,220



Corporate/Government

Options Fees

Single Tabletop $1,650



*Additional exhibitor equipment can be obtained from our event decorator Freeman Co.

by calling their Exhibitor Sales Department at 301-918-7900.

The single tabletop option includes one exhibit space with 8 back drape,

one 6 draped table, two chairs and one wastebasket.* The pipe & drape

booth option includes 8x10 booth with 8 high back drape, 3 high side

drape, one 6 draped table, two chairs and one wastebasket.* In addition,

each exhibit space includes one 7x 44 one-line identication sign, one ullaccess registration (inclusive o conerence meals), and the organizations

name on the Forum Exhibitor/Sponsorship section o InterActions website

and in the exhibitor page o the Forum Program, provided that we receive

your registration by March 15, 2012. Otherwise, your organizations name

will be listed in a separate exhibitor fyer distributed at the conerence.

Exhibitors are able to purchase additional ull access conerence

registration at a 15% discount. Passes or additional booth personnel

with access to the exhibit area only (not inclusive o workshops, plenary

sessions or conerence meals) may be purchased separately or $20 each

in advance or or $25 each at the door.

Individual tickets to the Gala Dinner may be purchased or $100 each.

One ticket is automatically included with each exhibit registration. I you

are interested in purchasing a ull table or 10 people, please contact

[email protected]

All registration orms and payments must be received on or beore April 13, 2012. Exhibit space is limited and will

be assigned on a rst-come, rst-served basis. I all the spaces are sold, you may be placed on a waiting list. Forum

2011 spaces sold out quickly, so we encourage you to register early. Registration will be conrmed via email within

three working days; nal space assignments will be emailed on or beore April 20, 2012. Within three working days

o the receipt o your registration and payment, your organizations name will be publicized on the Forum Exhibitor/

Sponsorship section o InterActions website. Please note that i we receive your registration ater March 15, 2012,

your organizations name will not be included in the Forum Program, but will be listed in a separate exhibitor yer

distributed at the conerence.

Registration Deadlines

Exhibit SpaceAn exhibit space foor plan is included at the end o this brochure. A map o the

available exhibitor spaces will be accessible on our website and will be updated

regularly with sold booths to indicate vacant spaces let. Please allow at least three

business days or your space assignment to be refected on the online map.

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A/V, electrical equipment, high-speed Internet and telephone services can be obtained by contacting Chris White at

[email protected] and by phone 703-271-5194, or you can download the appropriate orms at InterActions

website at www.interaction.org/2012-orum-exhibit and ax them to Marriott accounting at 703-271-5235 to make

payment arrangements.

I you need assistance in setting up your exhibits/displays, please schedule with Chris White at William.c.white@

marriott.com and by phone 703-271-5194 prior to arrival.

InterAction has secured a special rate o $249.00 + tax per night (single or double room) or our event. To guarantee

this rate, you must make your reservation as early as possible, but no later than April 8, 2012, Please go to the

Marriott website at http://www.marriott.com/hotels/travel/wasgw-crystal-gateway-marriott/ and register using promo

code intinta. Cancellations must be made 24 hours prior to your scheduled arrival. InterAction assumes no

responsibility, fnancial or otherwise, or hotel arrangements

For any additional inquiries about accommodations, contact:

Crystal Gateway Marriott

1700 Jeerson Davis Highway

Arlington, VA 22202

Phone: 1-800-228-9290

Fax: 703-271-5212

Audio-Visual& Other Services

HotelAccommodations

I you would like to order additional booth equipment, please contact the

Freeman Exhibitor Sales Department at 301-918-7900.

Additional Booth Equipment

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The exhibitor assumes entire responsibility and liability or losses,

damages, and claims arising rom exhibitor activities on the hotel

premises and will indemniy, deend, and hold harmless InterAction,

Freeman Co. and the hotel, its owner, and its management company,

as well as their respective agents, servants, and employees rom anyand all such losses, damages, and claims.

The hotel will not be responsible or liable or any loss, damage, nor

claims arising out o exhibitors activities on the Hotels premises

except or any claims, loss, or damages arising directly rom the

hotels own negligence

The exhibitor acknowledges that neither the Crystal Gateway Marriott

nor InterAction maintain insurance covering each exhibitors property

and that it is the sole responsibility o each exhibitor to obtain outside

insurance i deemed necessary.

The shipping and handling o all exhibit materials must be

arranged directly with Freeman Co. in advance, or an additional

ee. For more inormation about shipping provided by Freeman

Co., please log on to the exhibitor homepage on our website at

www.interaction.org/2012-orum-exhibit.

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Insurance & Liability

Shipping Information

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Yellow = Pipe & Drape Booths Gold = Tabletop Red = Food, beverageand attendeegathering spots

Exhibit Hall Layout

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ACDI/VOCA

Action Against Hunger USA

ActionAid International USA

Adventist Development and Relie Agency International

(ADRA)

Arican Medical & Research Foundation

Arican Methodist Episcopal Service and

Development Agency (AME-SADA)

AricareAga Khan Foundation USA

Air Serv International

All Hands Volunteers

Alliance or Peacebuilding

Alliance to End Hunger

American Friends Service Committee

American Jewish Joint Distribution Committee

American Jewish World Service

American Near East Reugee Aid

American Red Cross International Services

American Reugee Committee

AmeriCares

Americas Development Foundation (ADF)

Americas RelieTeam

Amigos de las Amricas

Ananda Marga Universal Relie TeamBaptist World Alliance

Basic Education Coalition (BEC)

Bethany Christian Services International, Inc.

Bnai Brith International

BRAC USA

Bread or the World

Bread or the World Institute

Brothers Brother Foundation

Buddhist Tzu Chi Foundation

Campaign or Innocent Victims in Confict (CIVIC)

CARE

Catholic Relie Services

CBM

Centre or Development and Population Activities (CEDPA)

Center or Health and Gender Equity (CHANGE)

CHF International

ChildFund International

Christian Reormed World Relie Committee (CRWRC)

Church World Service

Communications Consortium Media Center

Concern America

CONCERN Worldwide U.S., Inc.

Congressional Hunger Center

Counterpart International

Creative Learning

Development Gateway

Direct Relie International

Disability Rights Education and Deense Fund (DREDF)

The Eagles Wings Foundation

Easter Seals

Educational Concerns or Hunger Organization (ECHO)Education Development Center (EDC)

Episcopal Relie & Development

Ethiopian Community Development Council

Family Care International

Food or the Poor (FFP)

Freedom rom Hunger

Friends o ACTED

Friends o the Global Fight

GOOD360

Giving Children Hope

The Global Food Banking Network

Global Fund or Children

GlobalGiving

Global Health Council

Global Links

Global Resource Services

Global Washington

Habitat or Humanity International

Handicap International USA

Heart to Heart International

Heartland Alliance

Hebrew Immigrant Aid Society

Heier InternationalHelen Keller International

HelpAge USA

Helping Hand or Relie and Development

Holt International Childrens Services

Humane Society International (HSI)

The Hunger Project

Inormation Management and Mine Action Programs

(IMMAP)

INMED Partnerships or Children

InsideNGO

Institute or Sustainable Communities

Interchurch Medical Assistance, Inc. (IMA World Health)

International Catholic Migration Commission (ICMC)

International Center or Not-or-Prot Law

International Center or Research on Women (ICRW)

International Foundation or Electoral Systems (IFES)International Fund or Animal Welare

International Housing Coalition (IHC)

International Medical Corps

International Medical Health Organization (IMHO)

International Orthodox Christian Charities (IOCC)

International Relie & Development

International Relie Teams

International Rescue Committee (IRC)

International Social ServiceUnited States o America

Branch, Inc

International Youth Foundation

IntraHealth International, Inc.

Islamic Relie USA

Jesuit Reugee Services USA

Jhpiego an aliate o The Johns Hopkins University

Keystone Humane Services International

Korean American Sharing Movement

Latter-day Saint Charities

Lie or Relie and Development

Lions Clubs International Foundation

Lutheran World Relie

Management Sciences or Health (MSH)

MAP International

Medical Care Development

Medical Emergency Relie International (Merlin)

Medical Teams International

MedShare International

Mercy Corps

Mercy USA or Aid and Development

Millennium Promise

Mobility International USANational Association o Social Workers

National Peace Corps Association

ONE Campaign

One Economy Corporation

Operation Blessing International Relie and Development

Corporation

Operation USA

Outreach International

Oxam America

Pact

Pan American Development Foundation

Pan American Health and Education Foundation (PAHEF)

PATH

Pathnder International

PCI-Media Impact

Perkins International

Phelps Stokes

Physicians or Human Rights

Physicians or Peace

Plan USA

Planet Aid

Plant with Purpose

Population Action InternationalPopulation Communication

Presbyterian Disaster Assistance and Hunger Program

Project C.U.R.E.

PCI

ProLiteracy

Reugees International

Relie International

Religions or Peace

Resolve Uganda

RESULTS

ReSurge International

Salvation Army World Service Oce

Save the Children

Seva Foundation

Society or International Development (SID)

Solar Cookers InternationalSolidarity Center

Stop Hunger Now

Transparency International USA

Trickle Up Program

Unitarian Universalist Service Committee

United Methodist Committee on Relie

United Nations Foundation

United States International Council on Disabilities (USICD)

United Way Worldwide

USA or UNHCR

U.S. Climate Action Network (USCAN)

U.S. Committee or Reugees and Immigrants

U.S. Fund or UNICEF

VAB (Volunteers Association o Bangladesh)

Water Aid America

Water or South Sudan

WellShare International

WFP USA

Winrock International

Women or Women International

Women Thrive Worldwide

World Concern

World Connect

World Hope International

World Learning

World Neighbors

World Rehabilitation Fund

World Relie

World Resources Institute (WRI)

World Society or the Protection o Animals

World Wildlie FundWorld Vision

ASSOCIATE MEMBERS

Center or Justice and Peacebuilding, Eastern Mennonite

University

Enough Project (a project o Center or American Progress

(CAP)

Global Masters in Development Practice Secretariat o the

Earth Institute at Columbia University

Moynihan Institute o Global Aairs at Maxwell School o

Syracuse University, The Transnational NGO Initiative

The NGOLD Center at Northern Illinois University

(as o 11/4/11

InterAction Members


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INFORMATION

First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Last Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_

As you wish to appear on your name tag at the orum

Title _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Organization _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_

_|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Member Nonmember nonproft

Corporate Government

Address _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_ _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_

City _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_State _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ | Zip _ |_|_ |_ |_

Tel _______________Fax _______________

Email _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Registration confrmation will be sent via email

BE A SPONSOR AT THE INTERACTION FORUM

Corporate/Government Nonmember Nonproft InterAction Member

Diamond ($100,000) Diamond ($90,000) Diamond ($80,000)Platinum ($75,000) Platinum ($60,000) Platinum ($50,000)

Gold ($50,000) Gold ($40,000) Gold ($30,000) Silver ($25,000) Silver ($20,000) Silver ($15,000) Bronze ($15,000) Bronze ($10,000) Bronze ($5,000)InterAction Scholarship Fund Please designate 10% to InterActions Scholarship Fund

New this year, you will have an opportunity to designate 10% o your

sponsorship or InterActions scholarship und. InterAction will use

the unds to assist both young proessionals with a career interest in

international development, and InterAction member sta rom the Global

South to attend Forum 2012.

ADVERTISING OPPORTUNITIES Advertise in the Forum 2012 Program Advertise in Monthly Developments 1/4 Page ($500) 1/4 Page ($915) 1/2 Page ($750) 1/3 Page ($1090) Full Page ($1000) 1/2 Page ($1315)

Full Page ($2175)

MEALS & FUNCTIONS

The ollowing meals are includued in your complete orum registration.

Monday, April 30 Tuesday, May 1 Wednesday, May 2

Networking Luncheon Plenary Breakast Exhibit Hours Breakast

Exhibit/Happy Hour Plenary Luncheon Closing Plenary LuncheonGala Reception

Gala Dinner

ADDITIONAL

FULL CONFERENCE

REGISTRATION

Exhibitor registration deadline is April 13.

Cancellations must be submitted by email

to [email protected] by April 16.

Need extra tickets?

GALA PLENARY & AWARDS BANQUET Full Table (9 Additional seats or $800) Additional SeatTickets are $100 each. How many? ____

TOTAL $ ___________

SPECIAL ACCOMMODATIONS I preer vegetarian meals I have special needs as ollows:

___________________________________________________

___________________________________________________

BOOTH PERSONNEL PASSES

First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Last Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

Title _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Organization _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_ _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Last Name _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

Title _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Organization _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_ _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

There will be $20 charge or each additional booth personnel. Please include in your total payment.

PAYMENT INFORMATION VISA Master Card American Express

Card Holders Name_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Credit Card Number _ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

Expiration Date ____/____/______Card Holders Signature ________________________

Date ____/____/______

Make checks payable to InterAction

Be sure to write EXHIBITOR PROGRAM in the memo feld. Send payments to

InterAction, Attn: Forum Registrar

1400 16th Street, NW, Suite 210

Washington, DC 20036 USA

Tel: 1.202.667.8227

Forum 2012Sponsorship Registration Form

Full Name _ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ Full Name _ |_ |_ |_ |_|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_Title _ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ Title _ |_ |_ |_ |_|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_Organization _ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_|_ |_ Organization_ |_ |_ |_ |_|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_

FAX your completed orm today!Send to 1.202.729.6756

Please indicate your preerence or booth location/tabletop location:

1st_____________2nd_____________3rd_____________

Note: Complimentary advertising space in Julys Forum-recap issue o

Monthly Developmentsis included in some sponsorship packages, but

sponsors may also wish to purchase additional advertising in the May issue

that will be distributed at the Forum itsel. A discount is oered i you choose

to run in multiple issues o Monthly Developmentsthroughout the year.


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1400 16th Street, NW, Suite 210Washington, DC 20036 [email protected]

2012FORUM

Forum 2012 Sponsor Brochure

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