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2025 NCSG Symposium - Sponsor Registration Registration Form

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Categories *

Gold Sponsor Level - $2500.00

Gold sponsor level includes meals for 2 people.

Silver Sponsor Level - $1000.00

Silver sponsor level includes meals for 1 person.

Bronze Sponsor Level - $500.00

Bronze sponsor level doesn't include meals; if you're attending and would like to eat with NCSG members, please add meals below.

Organization *

Attendee Information

Contact Email *

Country *

Street Address (w/Apt#) *

City *

State *

Zip Code *

Will you need a table at the Symposium?

Sponsor Attendee #1 Name

Sponsor Attendee #1 Email Address

Sponsor Attendee #1 Phone Number

Special Dietary Requests:

Sponsor Attendee #2 Name

Sponsor Attendee #2 Email Address

Sponsor Attendee #2 Phone Number

Special Dietary Requests:

Please add attendee meals here.

Sponsor Attendee #3 Name

Sponsor Attendee #3 Email Address

Sponsor Attendee #3 Phone Number

Special Dietary Requests:

Sponsor Attendee #4 Name

Sponsor Attendee #4 Email Address

Sponsor Attendee #4 Phone Number

Special Dietary Requests:

Payment Details

Discount or Tracking Code

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Do not COPY & PASTE the code, please type it into this field.

Price

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Processing Fee

Total Owed

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