Conference Sponsor and Exhibitor Form : Annual Conference : Education : What We Do : Nebraska Juvenile Justice Association

Street Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Sponsorship Levels - Please choose one

Diamond Sponsor $15,000.00
Platinum Sponsor $10,000.00
Gold Sponsor $5,000.00
Silver Sponsor $3,500.00
Bronze Sponsor $2,000.00
Contributing Sponsor $1,000.00
Exhibitor $500.00
Youth Day Sponsor $1,500.00

All Sponsorship and Exhibitor Levels receive complimentary conference registrations. See below.

Exhibitor - ($500) - 1 Free Registration
Please note: The individual listed for this registration is considered your 1 (complimentary) table attendant. Additional table attendants can be added for a fee of $175/attendant. If the complimentary table attendant should be someone other than the individual listed above, please email Christybeckman@outlook.com and provide the appropriate contact information.

Youth Day Sponsor - ($1500) 2 Free Registrations, up to 2 sponsorships available

Each additional registration beyond the complimentary sponsorship level are $175 each.

A la carte sponsorships (break stations, etc) do NOT receive complimentary registrations on their own. If your agency chooses only one or more of the a la carte sponsorships, each registrant will be responsible for the $175 conference registration fee.

Additional Sponsorship Opportunities (a la carte)

$300.00 Evening Reception Sponsor
$300.00 Awards Recognition Sponsor
$350.00 Coffee Station Sponsor
$400.00 Break Station Sponsor

*Does not qualify for free registrations.

Conference Registration - All sponsorship levels receive at least two (2) complimentary conference registrations. Exhibitors receive one (1) complimentary registration. A la carte sponsorships (break stations, etc) do NOT receive complimentary registrations on their own, Please fill out the information below. You will receive an email requesting additional registrations based on sponsorship level and payment.

Name

First Name *

Last Name *

All sponsorship levels

Name

First Name

Last Name

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Payment Option

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Pay Later

If you choose the Pay Later option, you will be emailed an Invoice

Credit Card Information

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Expiration Date

Security Code

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Your credit balance will cover

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Your bank account will be charged

Conference Sponsor and Exhibitor Form

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