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Personal Information
Email Address
Name
Additional Sponsor Attendee Name(s). Maximum of three attendees.
Phone
Company/Organization
Address
Company/Organization Website
Please provide a link to your company logo for use in Symposium promotional materials. If a link is not available, please send a jpeg or pdf of your company logo to kschneringer@nebraska.edu.
Billing Information (Contact Name/Address/Phone)
Sponsorship
Please Select Sponsorship Level
Platinum Dual Event Sponsorship ($12,500)
Platinum Innovation in Pedagogy and Technology Symposium Sponsorship ($3,000)
Gold Dual Event Sponsorship ($6,500)
Gold Innovation in Pedagogy and Technology Symposium Sponsorship ($2,000)
Silver Dual Event Sponsorship ($2,500)
Silver Innovation in Pedagogy and Technology Symposium Sponsorship ($1,500)
Bronze Dual Event Sponsorship ($1,000)
Bronze Innovation in Pedagogy and Technology Symposium Sponsorship ($600)
Dual Conference Friend ($200)
Innovation in Pedagogy and Technology Symposium Conference Friend ($125)
Lunch included by sponsorship level: Conference Friend - 1; Bronze - 1; Silver - 2, Gold - 3.
Additional lunch fee: $15
Number Attending Lunch?
(Please identify the individual's name who has a dietary restriction in the box below if more than one individual from your company/organization is attending lunch)
Dietary Restrictions
Vegetarian
Diabetic
Gluten Free
Dairy Free
Vegan
Other Dietary Restrictions
Please check any of the following options if needed. The exhibit hall will have Wi-Fi access.
Electrical Outlet
Extra Chair (two chairs automatically provided)
Please make check payable to:
University of Nebraska
Please mail check to:
University of Nebraska Online, 3835 Holdrege Street Lincoln, NE 68583
If you prefer to pay for sponsorship via credit card, please contact Cortney Kirby at 402-472-7974. Visa, MasterCard, and Discover accepted.
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