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2011 AUSA ILW Army Installations Symposium & Exposition 18 - 21 April, 2011 Henry B. Gonzalez Convention Center San Antonio, Texas

SYMPOSIUM SPONSORSHIP ORDER FORM

Company Name: Contact Name: Address: City: Phone: E-Mail:

State:

Fax:

Booth Number:

ZIP:

Fax to: Mary Wille at (703) 243-2589

Please select from the following sponsorship(s). No credit cards will be charged until sponsorships are confirmed. Sponsorships are limited and available on a first-come, first-served basis.

Mailing Address: Mary Wille/AUSA 2425 Wilson Blvd Arlington, VA 22201

REFRESHMENT BREAKS/COFFEE SERVICES (9) $1,000.00 each $3,000.00 Packaged Price (9) LUNCHES (3) $1,000.00 each $1,750.00 Packaged Price (3) OPENING RECEPTION Available on a first-come, first-served basis $2,500.00 (1) PRE DINNER RECEPTION Available on a first-come, first-served basis $1,500.00 (1) ATTENDEE PACKET STUFFER Available on a first-come, first-served basis $3,500.00 (1)

Total:

__________________________

Payment Using Credit Card:

Card Number: Company name Card Holder Name: (please print) Billing Address:

Visa

MasterCard Exp. Date

Signature:

Amex

City:

State:

ZIP:

DEADLINE TO SUBMIT FORM FRIDAY, 1 APRIL 2011

Fold and tear at perforation.

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