Status of Indiana Families: Issues and Answers

October 19, 2017

9:00 a.m. – 4:30 p.m.

Ivy Tech Community College Conference Center

2820 North Meridian Street

Indianapolis, Indiana

Name & Company Information

Prefix

First Name

Last Name

Email Address

Organization

Title/Position

Street Address

City

State

Postal Code

Telephone Number

Registration

Individual Registration

$50 per person

Sponsor a Table

$1000 per table

Your $1000 sponsorship includes:

-A table of six at the symposium, reserved by name and logo on table

-Verbal recognition at the event attended by over 200 leaders from around the state

-Listing/logo on the event website, linked to the URL of your choosing

-Opportunity to distribute materials at registration

Sponsorship Information

Organization name – as it should appear on all publicity

Table attendee [six possible entries for this]

Prefix

First Name

Last Name

I/someone at my table has special dietary needs. Please describe.

How did you hear about this symposium?

I/someone at my table requires auxiliary aids or devices. Please contact me.

MEDIA NOTE

This conference will be documented through the use of photographs, video recordings, audio recordings, and other forms of media (collectively, the “Media”). The Media will be used in sponsors’ presentations, reports, and promotional materials, including on sponsors’ websites. The Attendee may be captured by or otherwise the subject of the Media throughout the event. By registering, the Attendee authorizes sponsors to use such Media in their Materials.

Please contact Elizabeth Dewes elizabeth@sagamoreinstitute.org with any questions.

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