Sound Mind, Steady Heart - Sponsor Registration

Sound Mind, Steady Heart - Sponsor Registration

Sound Mind, Steady Heart:
Women and Mental Health Conference

Sponsor Registration

Are you a Texas Baptists Staff Member?

Yes

No

Ministry/Company Information

Company/Ministry Name

Address

City

State

Zip

TXB Team

TXB Sub-Team

TBMF

Yes

TXB Name

TXB Address

City

TXB State

Zip

Contact Information

First Name	Contact Last Name
Contact Email	Contact Phone
Contact Title

Sponsorship Level

Please select one.

Platinum ($1,500)

Includes:

• An exhibit in high traffic area

• A 2-minute opportunity to promote your organization on stage via video or representative.

• A slide shown before and after each session in the general session room

• An opportunity to provide an insert for each church bag.

• 2 representatives for the conference

Gold ($1,000)

Includes:

• An exhibit in high traffic area

• A slide shown before and after each session in the general session room

• An opportunity to provide an insert for each church bag.

• 2 representatives for the conference

Silver ($500)

Includes:

• A slide shown before and after each session in the general session room

• An opportunity to provide an insert for each church bag.

• 2 representatives for the conference

Will you need electricity?

YesNo

Representative Information

Your sponsorship includes 2 representatives. Please enter their information below.

First Name

Last Name

Email Address

Phone

Representative Title

Rep Count

Rep Fee

Will you need additional representatives?

YesNo

How many representatives?

x $45 =

$

Amount Due

$

Sponsor Hidden

Level 1 Capacity	Level 1 Used	Level 1 Calc
Level 2 Capacity	Level 2 Used	Level 2 Calc
Level 3 Capacity	Level 3 Used	Level 3 Calc
Level 4 Capacity	Level 4 used	Level 4 Calc
Level 5 Capacity	Level 5 Used	Level 5 Calc

Payment

Discount Code

Invalid Discount Code

Discount Applied!

Dollar Discount

Team Discount

Percent Discount

WMU Discount

Total Reps

Payment Type

Credit CardeCheck

JE (10-61140-100-270-11182)

Registration Summary

Sponsorship

$

Discounts Applied

$

Additional Representatives

$

Base Price

$

Total before ccFees

$

Credit Card Fee*

$

3% added for credit card processing

Total Amount Due

$

Credit Card Information

Name on Credit Card

Credit Card Number

Credit Card Code

Card Verification Value

Expiration Month

Expiration Year

Credit Card Type

eCheck Information

Bank Name

Name of Account Holder

Bank Routing Number

Bank Account Number

Account Type

CheckingSavingsBusiness Checking

Customer Billing Information

First Name

Last Name

Email

Street Address

City

State

Postal Code

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Texas Baptists | 7557 Rambler Rd., Suite 1200, Dallas, TX, 75231 US | (888) 244-9400