AMTA Technology Transfer WorkshopsSponsorship Registration Sponsorship Contact InformationSalutationMr.Mrs.Ms.Dr.First Name* Middle Initial Last Name* Suffix (i.e.: Ph.D., P.E., Jr.) Company* Job Title* Address* City* State/Province*Not Applicable, InternationalAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip/Postal Code* Country*USAAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweTelephone* Cell Phone Email Address*Enter contact person's email address Website Billing InformationEnter billing contact information, if applicableBilling Contact Name Billing Contact EmailEnter billing contact's email address, if applicable Billing Contact Phone Please send copy of the invoice/receipt to Billing Contact Company InformationCompany LogoPlease provide a High Resolution, 300 dpi or greater.If you will be sending the logo separate, please email directly to custsrv@amtaorg.com.Accepted file types: jpg, eps, png, pdf, gif, ai, Max. file size: 100 MB.Company Description*Please provide one paragraph - 150 words or less. Benefits for all SponsorsAll sponsors will receive: • An e-mail list of attendees two weeks before the workshop and a final list after the workshop (within two weeks after the event) • Acknowledgement in the attendee materials (a 100-word description provided by sponsor) • An opportunity to distribute a company promotional item to all attendees • Recognition during the workshop • Logo or company name printed in the workshop brochure if registered prior to publication. Today - Date MM slash DD slash YYYY Select Workshop to Sponsor**Sponsors must be a Corporate Division 2 Member May 2-4, 2023 - Albuquerque, NM - AMTA/SWMOA Workshop August 29-31, 2023 - Vancouver, WA - AMTA/NWMOA Joint Workshop October 3-5, 2023 - Ithaca, NY - AMTA Workshop Annual Workshop Sponsor Annual Sponsor Packages Sponsorship Level for Multiple Day Workshops* Major Sponsor, $1,850 Lunch Sponsor, $1,650 Breakfast Sponsor, $800 Refreshment Break Sponsor, $600 Networking Event Sponsor, $2,000 Facility Tour Sponsor, $1,000 Annual Sponsorship Packages*Please view the sponsorship opportunity document to see what is included within each package. Major Sponsor Package, $7,275 Lunch Sponsor Package, $6,080 Breakfast Sponsor Package, $3,865 Annual Workshop Sponsor Options*10% discount off total of 3 multiple day Technology Transfer workshops Major Sponsor, $4,995 Lunch Sponsor, $4,455 Breakfast Sponsor, $2,160 Sponsorship Level for 1-Day Workshops* Major Sponsor, $,1000 Refreshment Break Sponsor, $250 Lunch, $500 Total $0.00 Payment InformationPayment Method* Credit Card - Online Payment eCheck (Bank Wire w/o processing fee) - Online Payment Check Invoice If paying by check, make payable to:American Membrane Technology Association1811 Englewood Rd., #280Tallahassee FL, 32317 Comments & CaptchaComments/QuestionsCAPTCHA Please refer to AMTA’s Privacy Policy if you have any questions regarding your preferences.