Mississippi IDeA/EPSCoR Conference 2023 Sponsorship Application

Organization Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Upload Company/Organization Logo(Required)

Max. file size: 300 MB.

Company/Organization Website Link

Please leave blank if your company/organization does not have an associated website.

Please select the option that best fits your organization:(Required)

State Academic Institution or Organization

For-Profit STEM-focused Company or Organization

Name(Required)

Prefix First Middle Last Suffix

Title

Phone(Required)

Email(Required)

Select the sponsorship package your organization is interested in(Required)

Platinum

Gold

Silver

Will you need a booth?(Required)

Yes

Provide a description of display needs for the exhibitor hall, including whether or not your booth will need access to electricity. Provide name(s) and title(s) for the persons manning the booth, for printing of name badges.

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