Central States Water Environment Association, Inc.

Central States Water Environment Association
Sponsor Registration Form
(Include this form with your exhibitor application)
Organization
Primary Contact
Title
Mailing Address
City State Zip Code
Telephone Number ( ) -
E-mail Address
Web Address
(for posting on the Central States web site: www.cswea.org)
Sponsorship Opportunities
Concourse Level Sponsorships (Circle Yes or No):
Your sponsorship of this event will support the student papers, student & young professionals, Stockholm
Junior Water Prize, Water for People, exhibits, printing, keynote speaker, banquet, and other costs associated
with this important conference. Four different levels of conference sponsorship are available. These levels of
sponsorship will be proudly displayed at the conference. Please select your preferred level by circling your
choice.
Platinum Level $1,000 Yes No
Gold Level $600 Yes No
Silver Level $400 Yes No
Bronze Level $250 Yes No
Lanyards with Your Company Logo
CSWEA is asking companies to donate bundles of 100 lanyards.
Please check the number of bundles you wish to supply. 1___ 2___ 3___
Golf—Sponsorship per Hole* (Circle Yes or No)*
Sponsor a hole for $250 each: Yes No
*For more golf sponsorship opportunities call Phil Parsons at (952) 926-7000; or Jim Roth at (651) 602-1123
TOTAL SPONSORSHIP AMOUNT
$___________________
Please submit this form with payment to:
Eric Lecuyer, Executive Director
Central States Water Environment Association
3809 Shenandoah Dr.
Crystal Lake, IL 60012-1730