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. 

Questions?
Contact Paula Miller,
Event Coordinator
paulajomiller@gmail.com 214.415.2952.

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