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Workshops
Rural Transit Day Sponsor Registration
Contact Information
Person to contact for questions related to the event registration or payment.
Name
*
First
Last
Agency
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Enter Email
Confirm Email
Registration Information
Sponsor Registration Type
*
Includes two representatives
Diamond Sponsor - $5,000.00
Platinum Sponsor - $2,500.00
Gold Sponsor - $1,000.00
Silver Sponsor - $500.00
Additional Representatives
Additional Representatives are $50 each.
None
1 Additional Attendee
2 Additional Attendee
3 Additional Attendee
4 Additional Attendee
5 Additional Attendee
6 Additional Attendee
Representative Information
Please list below the people attending the event.
Representative (1) Name
*
Included in Registration
First
Last
Email (Rep. 1)
*
Representative (2) Name
*
Included in Registration
First
Last
Email (Rep. 2)
*
Representative (3) Name
*
Included in Registration
First
Last
Email (Rep. 3)
*
Representative (4) Name
*
Included in Registration
First
Last
Email (Rep. 4)
*
Additional Representative (1) Name
*
First
Last
Email (Additional Rep 1)
*
Additional Representative (2) Name
*
First
Last
Email (Additional Rep 2)
*
Additional Representative (3) Name
*
First
Last
Email (Additional Rep 3)
*
Additional Representative (4) Name
*
First
Last
Email (Additional Rep 4)
*
Additional Representative (5) Name
*
First
Last
Email (Additional Rep 5)
*
Additional Representative (6) Name
*
First
Last
Email (Additional Rep 6)
*
Participation Special Request
Do you have a disability and may require accommodations in order to fully participate?
*
Yes
No
How would you like to be contacted to discuss your needs?
*
Phone
Email
Food Allergy/Dietary Restrictions
Pursuant to the Americans with Disabilities Act (where applicable), please select any food allergies or dietary restrictions.
Vegetarian
Vegan
Gluten Free
Shellfish/Seafood Allergy
Nut Allergy
Lactose-Intolerant
No Red Meat/Pork
Pescatarian
Company Information
Logo File Upload
Please provide a high resolution file of your company logo.
Max. file size: 80 MB.
Payment Information
Total
$0.00
Payment Method
*
Credit Card
Check
Note: Checks must be made payable to Clemson University.
