Register Here!
Select your participation level
____ Title Sponsor ($25,000)
____ Platinum Sponsor ($5,000)
____ Gold Sponsor ($2,500)
____ Table Sponsor ($1,000)
____ Individual - private firm ($50) # ______
____ Individual- public agency ($35) # ______
Sub-total: Sponsorships & Individual tickets $________
Program Ad (if not already included in sponsorship)
____ Back cover (available if Title Sponsor not obtained)($800)
____ Full page inside front or back cover ($600)
____ Full page inside program ($400)
____ Half page inside program ($300)
____ Quarter page inside program ($200)
____ Logo only (no ad) inside program ($100)
Sub-total: Program ad: $_______
Raffle Tickets - Adv. purchase (Will also be sold at the event)
____ 40 tickets - $120 ____ 30 tickets - $100 ____ 20 tickets - $ 75
____ 10 tickets - $ 40 ____ 6 tickets - $ 25 ____ 1 ticket - $ 5
Sub-total: Raffle tickets: $ ______ for #_______
Payment Information
Please make your check payable to TSPE
Mail your check with this form to:
Amy Kohls Buehler
5434 Merrimac Avenue Dallas, Texas 75206-5830
Click here for ad and logo information for the event program
Organization Name _____________________________
Contact ______________________________________
Contact Email _________________________________
Contact Phone _________________________________
Website ______________________________________
Amount enclosed: $ _____________
Attendees included in this payment __________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
If you would like to be seated with others from a specific society, please circle the society name below:
ASCE AIChE ASME SAME SPE
TSPE-Dallas TSPE-Preston Trail
THANK YOU!
Select your participation level then complete this form and fax, email, or mail it
with your payment to the address below.
Double click here to edit this text.