Disability Matters 2012 Awards Banquet & Conference April 18 & 19, 2012 Newark, New Jersey, United States SPONSORSHIP OPPORTUNITIES Sponsorship Submission Deadline – Thursday, December 15, 2011 __ $50,000: Diamond-Level • Ten seats for the entire conference, inclusive of Awards Dinner, with premium reserved seating • Select four items (as indicated) from the three columns below: COLUMN A (select one) __ Introduce a Keynote (Extremely Limited Opportunities Available) __ Moderate a Panel (Limited Opportunities Available) __ Intranet Resource Site - National __ Corporate Assessment & Gap Analysis __ ADA Hotline – One year Subscription – 5hrs per month COLUMN B (select one) __ Reasonable Accommodation Committee (RAC) Development __ Disability Mentor Program Development __ One-year Series of Four Webinars __ Day-In-The-Life Training __ Disability Mentor Day __ Employment Center Subscription – One year __ National Disability Employment Awareness Month: Keynote, Book Signing & Resource Fair COLUMN C (select two) __ National Disability Employment Awareness Month: Resource Fair __ Disability ERG Networking Forum – One year Subscription __ Two Cases of books, “DIVE IN” __ Ten Disability Matters T-shirts and Ten Disability Matters Hats __ One Set of Disability Etiquette & Awareness Toolkits (5 Kits) __ One Set of ADA Toolkits (5 Kits) __ One Set of Disability ERG Toolkits (5 Kits) • Four tickets to an exclusive reception for Senior Executives ONLY • Full-page color ad with prominent placement in the Disability Matters Ad Book • Sponsor Page listing in the Disability Matters Ad Book and on the 2012 Disability Matters section of the Springboard Consulting website – Company Name, Logo and Description will be included. • Sponsor Signage inclusive of Company Name and Logo inside and outside Event space. • Prominent placement on invitation which will be sent to 5,000 + business colleagues • Participation in the attendee Gift Bag – giveaway. __ $35,000: Titanium • Ten seats for the entire conference, inclusive of Awards Dinner, with premium reserved seating • Select one item from each of the following columns: COLUMN A (select one) __ Introduce-A-Panel (Limited Opportunities Available) __ ADA Hotline – A six month Subscription – 5hrs per month COLUMN B (select one) __ Six-month Series of Two Webinars __ National Disability Employment Awareness Month: Keynote and Book Signing COLUMN C (select one) __ Two Cases of books, “DIVE IN” __ Ten Disability Matters T-shirts and Ten Disability Matters Hats __ One Set of Disability Etiquette & Awareness Toolkits (5 Kits) __ One Set of ADA Toolkits (5 Kits) __ One Set of Disability ERG Toolkits (5 kits) • Two tickets to an exclusive reception for Senior Executives ONLY • Full-page color ad with prominent placement in the Disability Matters Ad Book • Sponsor Page listing in the Disability Matters Ad Book and on the 2012 Disability Matters section of the Springboard Consulting website – Company Name, Logo and Description will be included. • Sponsor Signage inclusive of Company Name and Logo inside and outside Event space. • Prominent placement on invitation which will be sent to 5,000 + business colleagues • Participation in the attendee Gift Bag – giveaway. __ $25,000: Platinum-Level • Eight seats for the entire conference (inclusive of Awards Dinner) with reserved seating • Eight Disability Matters T-shirts & Hats (one for each attendee) • One ADA Webinar • One Disability Etiquette & Awareness Webinar • One ticket to an exclusive reception for Senior Executives ONLY • Half-page color ad with prominent placement in the Disability Matters Ad Book • Sponsor Page listing in the Disability Matters Ad Book and on the 2012 Disability Matters section of the Springboard Consulting website – Company Name, Logo and Description will be included. • Sponsor Signage inclusive of Company Name and Logo inside and outside Event space. • Prominent placement on invitation which will be sent to 5,000 + business colleagues • Participation in the attendee Gift Bag – giveaway. __ $15,000: Gold-Level • Five seats for the entire conference, inclusive of Awards Dinner • Five Disability Matters T-shirts & Hats, one for each attendee • Choice of: One set (5 Kits) of ADA or Disability Etiquette & Awareness Toolkits (5 Kits) • One Case of “DIVE IN” Books • Quarter-page color ad with prominent placement in the Disability Matters Ad Book • Sponsor Page listing in the Disability Matters Ad Book and on the 2012 Disability Matters section of the Springboard Consulting website – Company Name, Logo and Description will be included. • Sponsor Signage inclusive of Company Name and Logo inside and outside Event space. • Prominent placement on invitation which will be sent to 5,000 + business colleagues • Participation in the attendee Gift Bag – giveaway. __ $10,000: Silver-Level • Five seats for the entire conference, inclusive of Awards Dinner • Five Disability Matters T-shirts & Hats, for each attendee • One Case of “DIVE IN” Books • Quarter-page color ad with prominent placement in the Disability Matters Ad Book • Sponsor Page listing in the Disability Matters Ad Book and on the 2012 Disability Matters section of the Springboard Consulting website – Company Name, Logo and Description will be included. • Sponsor Signage inclusive of Company Name and Logo inside and outside Event space. • Prominent placement on invitation which will be sent to 5,000 + business colleagues • Participation in the attendee Gift Bag – giveaway. __ $5,000: Bronze-Level • Five seats for the entire conference, inclusive of Awards Dinner • Five Disability Matters T-shirts & Hats, one for each attendee • Sponsor Page listing in the Disability Matters Ad Book and on the 2012 Disability Matters section of the Springboard Consulting website – Company Name, Logo and Description will be included. • Sponsor Signage inclusive of Company Name and Logo inside and outside Event space. • Prominent placement on invitation which will be sent to 5,000 + business colleagues • Participation in the attendee Gift Bag – giveaway. __ Friends: Ticket Type Single-Tickets (includes entire Conference & Awards Dinner) Entry $525 Quantity _____ Ticket Type Sr. Exec Exclusive Reception ONLY Entry $750 Quantity _____ Ticket Type Non-Profit Single-Tickets (includes entire Conference & Awards Dinner) Entry $262.50 Quantity _____ CONTACT INFORMATION: Company Name: ____________________________________________________ Contact Name: ____________________________________________________ Title: ____________________________________________________ Address: ____________________________________________________ City, State, Zip: ____________________________________________________ Telephone / Fax / Email: ____________________________________________________ ____________________________________________________ ______________________________________________________________________________ SUBMITTER APPROVAL (Authorized signer must be an officer of the company): I HEREBY ACKNOWLEDGE THAT ALL THE INFORMATION PROVIDED ON PAGES 1 through 3 OF THIS AGREEMENT IS TRUE, CORRECT AND COMPLETE TO THE BEST OF KNOWLEDGE. I HAVE FULLY READ, UNDERSTOOD AND ACCEPTED THE PROVISIONS, AND HAVE VOLUNTARILY SIGNED THIS AGREEMENT. Signature: _________________________________________________ Name (printed): _________________________________________________ Title: _________________________________________________ Date: _________________________________________________ PAYMENT OPTIONS: Credit Card: Springboard Consulting, LLC accepts all major credit cards. When paying via credit card, please print out the following billing form, complete and fax a signed copy to Jill Frankel at 973-813-7261. Sponsorship purchase is non-refundable, non-transferable, and non-negotiable. Check: Please make check should be made out to: Springboard Consulting, LLC Mail to: Springboard Consulting, LLC 14 Glenbrook Drive Mendham, NJ 07945 ______________________________________________________________________________ Please complete the following billing form and either email to jill@consultspringboard.com or fax to 973-813-7261. Any questions, please call Jill Frankel 973-813-7260 x. 106 or Ivette Lopez x 102. Billing Form Please fax to 973-813-7261 Date: _________________________________________________________ Company: _________________________________________________________ Name: _________________________________________________________ Invoice Number / Amount ($): _________________________________________________________ PAYING VIA CREDIT CARD: 1. Method of payment – Credit Card Type: _____________________________________________ 2. Exact Name on Credit Card: _____________________________________________ 3. Exact Billing Address of Credit Card: _____________________________________________ 4. Exact Number on Credit Card: _____________________________________________ 5. Credit Card Expiration Date: _____________________________________________ 6. If applicable - Please provide daily limits and/or transaction limits on Credit Card provided above: ____________________________________________________________________________ 7. Billing Contact’s telephone number: _______________________________________________ 8. Billing Contact’s email address (this will be used for all communication regarding this transaction): ________________________________________________________________________ Confidentiality of Information: Springboard Consulting, LLC will maintain the confidentiality of all client personal and credit card information; will not sell or share; or disclose any information without your explicit consent or unless required by law. Authorization: I authorize Springboard Consulting, LLC and the credit card company named above to charge my credit card. Sponsorship purchase is non-refundable, non-transferable, and non-negotiable. Authorized Signature:___________________________________________________________________ Print Name: ____________________________________ Date: ___________________ Please complete the following billing form and either email to jill@consultspringboard.com or fax to 973-813-7261. Any questions, please call Jill Frankel 973-813-7260 x. 106 or Ivette Lopez x 102.