Sponsorship Registration

To complete the sponsorship registration process:

• Complete registration form
• Review form before clicking “submit”
• Print (printer friendly version) and review your registration form
• Make payment online or mail completed form along with check, money order or credit card information to:
  
  Coppin State University
  Development Foundation, Inc. - CSU Vision Award Celebration
  2500 West North Avenue
  Baltimore, MD 21216

The fields with an asterisk (*) are required.

Note: We must have acknowledgement of your sponsorship by January 23, 2009 in order to include your name or company on promotional literature, signs, the souvenir program booklet, etc.

Title: Select Title Dr. Mr. Mrs. Ms. Rev.
First Name:
Last Name:
Organization:
Address:
Department:
Phone: ()   - 
Email:
State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:

Sponsorship:
Platinum Sponsor ($10,000)

Gold Sponsor ($7,500)

Silver Sponsor ($5,000)

Bronze Sponsor ($2,500)

Vision Sponsor ($1,000)

Other Contribution ($)



Invoice:   Please check the box if you would like to receive an invoice


A portion of your sponsorship is tax-deductible