Pub. 3 2018 Issue 1

18 www.ctaahq.org  I will be making full payment in the amount of $___________ by February 15, 2018 in order to take advantage of the membership discount.  I would like to use my credit card. Please process payment between January 1, 2018 and February 15, 2018 in the amount of $___________.  I wish to participate in the payment plan and will call Jessica Olander from CTAA to make payment arrangements. I realize that I will not qualify for the discount if I choose this option.  I DO NOT wish to participate in the SOP program but would like to sponsor some events and programs. I realize that I will not qualify for the membership discount or payment plan if I choose this option. I also realize each sponsorship I choose must be paid in full at least one month prior to the event or program. COMPANY: __________________________________________________________________________ ADDRESS: ___________________________________________________________________________ CITY: __________________________________________STATE: _____________ ZIP: _______________ PHONE: _____________________________ EMAIL: _________________________________________ Type of Card: _____American Express _____VISA _____Master Card Name of card: _________________________________ Expiration Date: ________________________ Card Number: _______________________________________________________________________ Signature: ___________________________________________________________________________ COMPLETED FORM CAN BE FAXED, MAILED OR EMAILED TO: CTAA 701 HEBRON AVE . 3RD FLOOR GLASTONBURY, CT 06033 PHONE: 860-722-9922 FAX: 860-541-6484 EMAIL: JESSICA@CTAAHQ.ORG $5,000 qualifies you for the PLATINUM Sponsorship level $2,500 qualifies you for the GOLD Sponsorship level $1,500 qualifies you for the SILVER sponsorship level SOP (SPONSORSHIP OPPORTUNITIES PROGRAM) COMMITMENT FORM Sponsorship Opportunity Program