Sponsor S/I/T Sign Up Form

Name   ex) John Doe
Title   ex) Mr. or Vice President
Company/Organization   ex) XSolutions
Mailing Address  
Contact Preferred By   By what means would you like us to contact you?
Email   ex) myemail@yahoo.com
Telephone   ex) 555-555-5555
Fax   ex) 555-555-5555
Cell Phone  
(should we need to contact you the weekend of SIT)
ex) 555-555-5555
Please Select all Sponsor Options that Apply:
We will be pleased to sponsor S/I/T, by contributing an amount
of $ to cover SIT expenses and prizes.

We will be pleased to sponsor S/I/T, by contributing "special" prizes of our own (i.e. radio, CD player, t-shirts, science equipment, etc.)

we will send judges to select our prize winners.

We will be pleased to sponsor S/I/T, through the following in-kind services:

Providing judges
Participating on the planning committee
Presenting a workshop (approx. 45 minutes) at the S/I/T
Exhibition for students or adults on the following topic:
I need more information. Please have a representative of the committee contact me.

Please check the TOTAL value level of your financial
donations including value of in-kind services:

PLATINUM over $2,000
$1,000 to $2,000
over $100 under $1,000
under $100

Review all information before submitting!