2019 WI Truck Tech Championship Sponsors (credit card) | Wisconsin Motor Carriers Association Online Payment

Name*

First Last

Company

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Email*

Sponsorship Level

Name of Attendee*

First Last

Gold Sponsors Receive (2) Banquet Tickets - If Attendee is unknown please fill in as "Guest"

Name of Attendee*

First Last

Gold Sponsors Receive (2) Banquet Tickets - If Attendee is unknown please fill in as "Guest"

Name of Attendee*

First Last

Silver Sponsors Receive (1) Banquet Ticket - If Attendee is unknown please fill in as "Guest"

Sponsorships

Gold Sponsor

Receive (2) complimentary banquet tickets, name in program, logo scrolling on video board & sponsor signage.

Price: $1,000.00 Quantity:

Silver Sponsor

Receive (1) complimentary banquet ticket, name in program, logo scrolling on video board & sponsor signage.

Price: $750.00 Quantity:

Bronze Sponsor

Receive name in program, logo scrolling on video board & sponsor signage.

Price: $500.00 Quantity:

Written Test Sponsor

Receive company name in program, & sponsor signage

Price: $100.00 Quantity:

Billing Address*

Street Address Address Line 2 City State ZIP Code

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*

Transaction Fee*

Price: $5.00

Total

$0.00