2017 Annual Dinner Sponsor/Table Purchase Registration Form Name*CompanyAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Sponsorship OptionsSponsorshipsNote: Pricing subject to change.Society Sponsorship - $5,500 DiamondDinner Sponsorship - $2,800 GoldDinner Sponsorship - $1,750 Silver Forecast Table Purchases - $1,400 Table for 8 Number of tables:Means of Payment*Check - Payable to: CFA Society of Austin, 3267 Bee Cave Road, Suite 107‐273, Austin, TX 78746Credit Card - Visa / Mastercard / Discover / American Express - We will contact you regarding a payment link or to process over the phone.Contact MePayment Contact Person (if different from above):NamePhoneEmail Please provide your name as you wish to be recognized:(If different from above.)NameCompanyClick below to upload your logoYou may also email your logo to Sponsorship@cfaaustin.org for inclusion in printed materials.Guest NamesAll sponsorships come with eight dinner tickets. Guest names can be provided at a later date. However, please provide names by Friday, February 17, 2017.NameEmail NameEmail NameEmail NameEmail NameEmail NameEmail NameEmail NameEmail EmailThis field is for validation purposes and should be left unchanged. Please email any questions or requests for additional information, on sponsorships to Sponsorship@cfaaustin.org.