2021 WMCA Convention 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

Platinum - $1,000
Gold - $750
Silver - $500
Bronze - $250
Opening Night Reception - Appetizers $1,500
Breakfast Buffet - $1,500
Chairman's Reception - Host Bar $2,000
Chairman's Reception - Appetizers $1,500

Platinum Sponsor

Price: $1,000.00 Quantity:

Gold Sponsor

Price: $750.00 Quantity:

Silver Sponsor

Price: $500.00 Quantity:

Bronze Sponsor

Price: $250.00 Quantity:

Opening Night Reception - Appetizers

Price: $1,500.00 Quantity:

Chairman's Reception - Appetizers

Price: $1,500.00 Quantity:

Breakfast Buffet

Price: $1,500.00 Quantity:

Chairman's Reception - Host Bar

Price: $2,000.00 Quantity:

Name of Convention Attendee*

First Last

Platinum Sponsors Receive (2) Both Day Tickets - If Attendee is unknown please fill in as "Guest"

Name of Convention Attendee*

First Last

Platinum Sponsors Receive (2) Both Day Tickets - If Attendee is unknown please fill in as "Guest"

Name of Convention Attendee*

First Last

Gold Sponsors Receive (1) Both Day Ticket - If Attendee is unknown please fill in as "Guest"

Name of Convention Attendee*

First Last

Silver Sponsors Receive (1) Single Day Ticket [of their choosing] - If Attendee is unknown please fill in as "Guest"

Single Day Ticket Choice

Opening Day
Day Two
To Be Determined

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