Sponsor Registration

To register as a sponsor of ASI’s 2015 Reseller Conference, please complete and submit this form. If you have any questions about this form or about your status as a sponsor, please contact ASI Marketing Assistant, Shannon Straub at marketing@actionsystems.com or 301-445-6100 x109.

Gold
Platinum
Please make a selection.

Please indicate if you are registering as a gold or platinum sponsor.

Company Info:

Company:

Email:

Required

Enter a Valid Email Enter a Valid Email

Key Contact:

Cell Phone:

Required

Address:

Billing Address Required

City:	State:	Zip:
Billing City Required	Billing State Required	Billing Zipcode Required

All Sponsors are invited to register two people for the following events at no charge:

Name	Title	Email	Special Events	Friday Activities

Name	Title	Email	Special Events	Friday Activities

Platinum Sponsors may register two additional people at no charge while Gold Sponsors may register additional people for all the events below at a charge of $500 per person:
Name	Title	Email	Special Events	Friday Activities

Name	Title	Email	Special Events	Friday Activities

Please indicate which event you would like to sponsor:
(grayed out events are already reserved.)

Yes No Please make a selection.	Please indicate if you require electricity and internet access at your display table. (Platinum Sponsors receive these services at no additional fee but Gold Sponsors are invoiced $200.)

Yes No Please make a selection.	Do you want ASI to host a Sponsor Page for your company on our Dealer Services Website? If so, you must submit appropriate materials to sales@actionsystems.com prior to December 6.

Yes No Please make a selection.	Will you provide prize(s) for the bingo card raffle?

Sponsor Registration

Gold Platinum Please make a selection.

Please indicate if you are registering as a gold or platinum sponsor.

Company Info:

Company:

Email:

Key Contact:

Cell Phone:

Address:

City:

State:

Zip:

All Sponsors are invited to register two people for the following events at no charge:

Name

Title

Email

Special Events

Friday Activities

Name

Title

Email

Special Events

Friday Activities

Platinum Sponsors may register two additional people at no charge while Gold Sponsors may register additional people for all the events below at a charge of $500 per person:

Name

Title

Email

Special Events

Friday Activities

Name

Title

Email

Special Events

Friday Activities

Please indicate which event you would like to sponsor:(grayed out events are already reserved.)

Yes No Please make a selection.

Please indicate if you require electricity and internet access at your display table. (Platinum Sponsors receive these services at no additional fee but Gold Sponsors are invoiced $200.)

Yes No Please make a selection.

Do you want ASI to host a Sponsor Page for your company on our Dealer Services Website?

If so, you must submit appropriate materials to sales@actionsystems.com prior to December 6.

Yes No Please make a selection.

Will you provide prize(s) for the bingo card raffle?

Gold
Platinum
Please make a selection.

Please indicate which event you would like to sponsor:
(grayed out events are already reserved.)

Yes
No
Please make a selection.

Yes
No
Please make a selection.

Yes
No
Please make a selection.