Annual Conference Sponsorship "*" indicates required fields Company Name:*Address* Street Address Address Line 2 City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contact Name* First Last Contact Email* Contact Phone*Which sponsorship(s) would you like?* Booth Sponsorship Event Sponsorship Session Sponsorship Program Sponsorship Booth Sponsorship Options* Single Booth ($350) Double Booth ($650) Event Sponsorship Options* Tuesday Afternoon Coffee Break ($400) (1 item remaining) Wednesday Morning Coffee Break ($400) (0 items remaining) Wednesday Afternoon Coffee Break ($400) (1 item remaining) Wednesday Breakfast Buffet ($1500) (0 items remaining) Wednesday, Pre-Banquet Reception ($2000) (1 item remaining) Wednesday Banquet ($4800) (0 items remaining) Thursday Breakfast Buffet ($1500) (1 item remaining) Thursday Morning Coffee Break ($400) (0 items remaining) Session Sponsorship Options* Session Sponsor ($500) (2 items remaining) Program Sponsorship Options* Inside Cover ($1,250) (1 item remaining) Back Cover ($1,250) (1 item remaining) Spread ($1,500) (1 item remaining) Full Page ($726) (1 item remaining) Half Page ($363) (1 item remaining) Will you be paying by credit card or check?* Credit Card Check Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name If paying by check, CLICK HERE to download the form.Total Acknowledge LMCA Bylaws & Policy for Professional Behavior I have read LMCA Bylaws & Policy for Professional BehaviorView Bylaws (PDF) View Policy for Professional Behavior (PDF) Upcoming EventsLatest NewsletterInteractive Map
