MEPS Sponsorship Application

Sponsor Name

Address

Street address

Street Address Line 2

City

State

Zipcode

Phone Number (include area code and extension)

Contact Name

Contact Email

Select Sponsor Level

Diamond Sponsorship

Gold Sponsorship

Silver Sponsorship

Bronze Sponsorship

Partner Sponsorship

Payment Options

InvoiceCheck by mailPayPal

Company Logo

Company Write up

If you wish to pay by check, please make payable to: Missouri Energy Initiative

and mail to:

Missouri Energy Initiative

238 East High Street, 3rd Floor

Jefferson City, MO 65101

Contact Information