ILLINOIS WHEAT ASSOCIATION SPONSOR REGISTRATION FORM
Please select your sponsorship level and complete the contact information below.
Please indicate your level of sponsorship.
Platinum, $1,000
Gold, $500
Silver, $400
Bronze, $300
If selecting the Bronze level, please indicate which Forum you would like to exhibit.
Winter
Summer
If interested in additional sponsorship opportunities, please indicate which one.
NEW Summer Forum 'What's New' Segment. Must be a sponsor at one of the levels listed above. Additional $100. (Limited to 8 participants)
Wheat Yield Contest, $500 (Limited to one sponsor)
May Wheat Plot Tour meal sponsorship, minimum of $100
Seed Certificate Program, $75 per remittance
I am interested in the Summer Forum 'What's New' Segment at $400. (Limited to 8 participants)
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Will you need an invoice before sending payment?
Yes
No
If you require an invoice, and your billing address is different, please indicate it here:
If sending a payment, please remit to IWA Treasury Operations, PO Box 8, Bloomington, IL 61702. Will you need a receipt?
Please mail me a receipt
Please email me a receipt
I don't require a receipt
Please share your organization’s logo to be used on promotional materials. Logo must be 300 dpi in .eps .jpg or .png format.
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