Partner Commitment Form
Please Select Your Partnership Level:
Diamond Partner | $25,000
Platinum Partner | $20,000
Gold Partner | $15,000
Silver Partner | $10,000
Educational | Partner $6,000
Educational | Partner $5,000
Other
Add year round partnership for ICAN Events | $10,000
Yes
No
Add- On Co-Branding Opportunities:
Printed Conference Program | $15,000
Executive Summit Partner | $10,000
Conference Bags | $8,000
Mobile App Partner| $9,000
Mobile App Push Notifications | $1,000
Wi-Fi Partner | $5,000
Conference Luncheon | $6,000
Speaker & Partner Reception | $5,000
Post Conference Reception | $6,000
Morning or Afternoon Co-Branded Item | $3,000
Morning or Afternoon Snack Partner | $5,000
Attendee Engagement Activity | $2,500
Other:
Additional Corporate Tables you would like to reserve:
Primary Partner Contact Information
First Name
Last Name:
Company:
Title:
Address:
City:
State:
Zip Code:
Phone:
Email:
Invoice will be sent to the email address above unless indicated here:
Company President / CEO:
Designed Conference Advocacy Committee Representative (All Partners)
The Advocacy Committee provides input about conference programming, marketing and community efforts. Members of the committee also serve as liaisons to their company and advocates in the community.
Name:
Title:
Phone:
Email:
Conference Attendance
In 2016, the Women's Leadership Conference projects to host 2,500 leaders. To ensure we continue to provide your organizations with an exceptional experience,
please estimate the number of leaders you plan to sponsor to attend:
Other Notes (ex. Product Donations, Second Advocacy Member Name, new ideas, questions, etc.)
Digital Signature:
(Pl
ease Type Your Name)
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