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2016 National Association of State Fire Marshals Annual Conference July 19-21, 2016

Hotel Albuquerque at Old Town 800 Rio Grand Blvd. NW, Albuquerque, NM 87104

SPONSOR/EXHIBITOR FORM

I would like to contribute to the conference as a premier sponsor at the following level:

Premier Sponsorship level Amount Total Platinum Contribution level $11,000

Titanium Contribution level $7,500

Gold Contribution level $5,000

Silver Contribution level $2,500

Bronze Contribution level $500

Subtotal Premier Sponsorship Please see the NASFM 2016 Annual Conference Sponsorship and Exhibit Guide for more details on the benefits, terms and logistics of items listed here. This document is available on-line at the NASFM website www.firemarshals.org.

Additional Special Sponsorship Opportunities*:

Item Amount Total Fire Marshals Conference Keepsake Item (Shirt, Bag, Jacket, etc.) $5,500

Custom NASFM Conference Challenge Coin w/your company logo on one side

$4,000

Conference Name Badges and Lanyards (Your Company supplies the Lanyards – NASFM prints the name badges)

$3,500

Flash Drive w/Conference Presentations (you provide drives with your company logo, we add conference materials) $3,000

Fire Marshals Only Breakfast Forum (one available each day) $2,500

Break Sponsorship Tuesday (two available each day) $1,500

Break Sponsorship Wednesday (two available each day) $1,500

Sponsorship (half page in size) of the annual conference program – Sponsor to provide artwork – limited space available

$1,000

Sponsorship (quarter page size) of the annual conference program – Sponsor to provide artwork – Limited space available

$750

Daily Agenda - Your company logo and tag line on the daily agenda (one available each day)

$750

Custom Sponsorship opportunities are available (contact us with your ideas)

TBD

Subtotal Sponsorship

*Please NOTE: These items are limited in terms of the number available, and the time by which they must be purchased and/or manufactured. Prior to selecting any of the above, please contact Philip Oakes at admin@firemarshals.org or 202-737-1226 ext. 4.

As an exhibitor you agree to the Exhibitor Regulations in the NASFM 2016 Annual Conference Sponsorship and Exhibit Guide Available at www.firemarshals.org

Display Type Amount Total

10’ X 10’ Tabletop Display with up to 2 individuals $1,150

10’ X 10’ Booth Display with up to 2 individuals $1,250

Subtotal Exhibits

Subtotal of all of above

GRAND TOTAL ALL ITEMS

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NOTE: Please consult the NASFM 2016 Annual Conference Sponsor and Exhibit Guide for special benefits associated with each of the various sponsorships. Due to the lead time required to produce special benefit opportunities and Premier Sponsorship Add-On materials, the cutoff date is June 15th, 2016 to receive these special benefit opportunities, or to include the Premier Sponsor Add-Ons as part of your contribution. In order to ensure proper recognition all sponsors must email their logo (preferably in EPS format) to:

admin@firemarshals.org.

CONTACT INFORMATION (PLEASE TYPE OR PRINT): Name: Sponsoring Company: Address Line 1: Address Line 2: City, State, Zip: Phone (W): Email: If you are donating an item to the attendee bag, please list the item you will be donating here. Please note, 200 of each item will be needed, and a NASFM representative will contact you with shipping information: Exhibitor Attendees: Please list who will be at your display booth or tabletop here: 1. Title: 2. Title: Please provide a brief list of the product or services to be exhibited here:

Please send sponsorship form and payments to: National Association of State Fire Marshals

Attention: Philip Oakes, 2016 Annual Conference Sponsorship P.O. Box 671 ▪ Cheyenne, WY 82003

Phone: (202) 737-1226 ext. 4; Fax: (307) 547-2260

If paying by credit card, please complete Page 3.

We sincerely appreciate your generous support and commitment to NASFM’s Mission. Thank You!

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IF PAYING BY CREDIT CARD, PLEASE COMPLETE THE FOLLOWING SECTION AND RETURN: Credit Card Type: Visa MasterCard American Express Discover Pay Pal Credit Card Number: Card Verification Number: Expiration Date: Name as it Appears on the Card: I authorize NASFM to charge (please fill in amount) to my credit card: Signature: Company: Billing Address: City, State, Postal Code: Country: Phone Number/Fax: Email Address: Please note: When processed, a receipt will be sent directly to the email address provided. NASFM cannot process credit cards issued from banks outside the United States.