SPONSORSHIP COMMITMENT FORM

If you are interested in supporting the Bergen Community College Women's Institute Workshop Series or it’s Fourth Annual Conference in 2012, please print out, fill out, and return the following form by fax (201) 447-7861 or mail:Bergen Community College Women’s Institute, 400 Paramus Road, Paramus, NJ 07652

CONTACT PERSON _______________________________________________________

COMPANY/ORGANIZATION NAME _____________________________________________

ADDRESS _______________________________________________________________

PHONE _________________________ FAX __________________________

E-MAIL __________________________________________________________________

SPONSORSHIP LEVEL _____________________________________________________

METHOD OF PAYMENT ___ CHECK ___ CREDIT CARD (VISA OR MASTERCARD ONLY)

CARD # ______________________________ EXPIRATION DATE __________________

SIGNATURE OF CARDHOLDER ______________________________________________

FOR ADDITIONAL QUESTIONS/INFORMATION, PLEASE CONTACT THE WOMEN'S INSTITUTE OFFICE