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Name
*
$
Dr.
Dr. and Mrs.
Miss
Mr.
Mrs.
Mr. and Mrs.
Ms.
Sister
Mayor
M.D.
Currator
Mr. & Mrs.
Dr
Hon.
Publisher
Assistant Dir.
MS
Rev.
The Honorable
Title
First Name
Last Name
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Address
*
$
Address Line 1
City
State
Zip
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Job Title
*
$
$
One Time
Recurring
Organization
*
$
$
One Time
Recurring
Professional Continuing Education Credits
*
$
$
One Time
Recurring
By attending this Conference you may be eligible for CTLE credit from Sarah Lawrence College, CEU credits from Westchester Jewish Community Services, or Public Librarian Certification hours. Please indicate here if you would like more information. Information will also be available on our website at www.d2rconference.info
Let us know...
*
$
$
One Time
Recurring
We want everyone to feel welcome. If you need accommodations or have dietary restrictions or food allergies, please share that information when you register.
Individual Ticket
*
$
$
x $150.00
One Time
Recurring
Early Bird Conference ticket includes breakfast, lunch, keynote, and all conference activities.
D2R Partner Sponsorship
*
$
$
x $500.00
One Time
Recurring
Sponsorship includes: Two tickets to the Conference, recognition at the Conference, an information table opportunity at the Conference, and organization spotlight in the D2R newsletter, and a listing on the D2R Coalition website for one year.
Gold Sponsorship
*
$
$
x $10,000.00
One Time
Recurring
As a Conference Sponsor, you will receive eight conference tickets (option to donate to a nonprofit of your choice), top-of-the-line recognition on all conference materials, banner/signage at the Conference, opportunity to speak at the podium, tabling opportunity, and acknowledgment on 12 issues of the D2R newsletter.
Silver Sponsorship
*
$
$
x $5,000.00
One Time
Recurring
Sponsorship includes: 6 tickets, acknowledgment on Conference materials and signage, an information table opportunity at the Conference, and six months of sponsorship recognition in the D2R newsletter.
Bronze Sponsorship
*
$
$
x $2,500.00
One Time
Recurring
Sponsorship includes: 4 tickets for the Conference, recognition on Conference materials and signage at Conference, an information table opportunity at conference, and listing on D2R website for one year.
Yes, I would like to cover the 3% credit card processing fee.