INVOICE FORM
Payment is required before sponsor’s participation in any event. Payment is accepted in credit card, cash
or check. Credit card payments are subject to a processing fee. Make checks payable to ECDI, a 501(c)(3)
nonprofit, Tax ID 31-1145544.
Please choose a Sponsorship Level to be invoiced:
TrailblazeHER,
PRESENTING SPONSOR (one available) -
$25,000
EmpowerHER,
TITLE SPONSOR
(two available) -
$10,000
ImpactHER
-
$5,000
FundHER
-
$2,500
Advocate
HER
-
$1,000
Support
HER
-
$500
Company Information
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Business Email
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Billing Street Address
(required)
Billing City
(required)
Billing State
(required)
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Billing Zipcode
required)
Please confirm:
Invoice should be sent to email provided above.
Personal Information
First Name
Last Name
(required)
Occupation Title
Mailing Address, if wish to receive ECDI promotional materials in the mail:
Mailing City
Mailing State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Mailing Zipcode
Best Number To Be Reached At
Secondary Email Contact
(not required)
Would you like to receive ECDI's
Monthly Impact
email?
Yes
No
Hidden Fields
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o protect your data, ECDI uses multiple safeguards including multi-factor authentication, server backups, best in class endpoint detection and response software to ensure your information is safe.
Contact Information