2022 LibertyCon Sponsorship Registration Form

Donate as:

OrganizationIndividual

Organization

Sponsor Organization

Street Address

City

Country

Province

State

Postal Code

CONTACT AT ORGANIZATION

First Name

Last Name

Phone Number

Email Address

Street Address

City

Country

Province

State

Brazilian State

Postal code

Individual Information

First Name

Last Name

Phone Number

Email Address

Street Address

City

Country

Province

State

Brazilian State

Postal code

LEVEL OF SPONSORSHIP

Sponsorship Packages:

Platinum..............................................$25000Gold....................................................$10000Silver...................................................$5000Exhibitor.............................................$750Custom

Custom Amount

A La Carte Items

A la Carte Items

Audio/Visual Sponsor..................................................$25000All Conference Social Sponsor Friday or Saturday.....$15000Travel Scholarship Sponsor.........................................$10000Lunch Sponsor.............................................................$5000Coffee Sponsor.............................................................$5000Level 3 Streaming Package..........................................$1500Level 2 Streaming Package..........................................$1000Level 1 Streaming Package..........................................$500

Total Amount Due:

Payment Form

CheckCredit Card

Billing Information

Cardholder's Full Name

Card Number

CVV Code

Expiration Month

Expiration Year

Billing Address

First Name

Last Name

Address Line 1

Address Line 2

City

Country

State/Province

Postal Code/Zip Code

I agree to conduct myself in a respectful manner with the purpose of gaining a greater understanding of liberty. I understand the information I provide will be used by Students For Liberty in accordance with its privacy policy .I also give permission to Students For Liberty to use my photographs for purposes as deemed necessary by Students For Liberty

I agree to receive information in a form of email communications about the upcoming events, programs, and other relevant updates from Students For Liberty.