Corporate Sponsorship Form

Contact Information

Company Name*

Contact Person*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Please provide a method to contact you in the event of a problem with uploading your corporate logo. A confirmation email will be sent. Duplicate email addresses are not accepted.

Phone*

Corporate Sponsorship

Corporate Sponsorship is for one calendar year. Corporate Sponsorship includes:

1. your company's logo will appear on our website, with acknowledgement of your company as a corporate sponsor. Your logo will be linked to your company's web site.

2. acknowledgement of sponsorship at all symposium and on any printed conference advertising.

Corporate Logo
Accepted file types: jpg, gif, png, Max. file size: 100 MB.
Please upload your corporate logo here

Corporate Sponsorship

Corporate Sponsorship $1200.00

Total
$0.00

The CTSRC is a 501c6 organization. Donations made to the society are not tax deductible.

Payment Options

When you click PURCHASE NOW, you will be directed to the PayPal site to complete your transaction.Payment can be made using a Pay Pal account OR credit card.

Check payment
Checks must be mailed to:

CTSRC

c/o Maureen Parmelee

90 Creamery Rd

Durham, CT 06422
Once your check has been received, your logo will be added to the site.

Name
This field is for validation purposes and should be left unchanged.

Contact Information

Corporate Sponsorship

Checks must be mailed to:

CTSRC

c/o Maureen Parmelee 90 Creamery Rd Durham, CT 06422

c/o Maureen Parmelee

90 Creamery Rd

Durham, CT 06422