Silicon Valley-China Wireless Technology Association

SVCWireless Corporate Sponsorship Form

Company Name: _______________________________________________________

Company Address: _____________________________________________________

Your Name & Title _____________________________________________________

Telephone _______________________ Fax: _________________________________

Company Representative to SVCWireless__________________________________

Telephone: _______________________Fax: _________________________________

Mailing Address: _______________________________________________________

Corporate Benefit Packages Selected:

____ Diamond Package ($5,000/year) ____ Gold Package ($2,000/year)

____ Platinum Package ($3,000/year) ____ Silver Package ($1,000/year)

Signature (Company Representative):_________________________Date_________

Method of Payment: ___Check (payable to SVCWireless) ___Credit Card(circle one) Visa MasterCard

Expiration Date __________________________________

Acct Number:_____________________________________

Name on the card _________________________________

Please sign here ___________________________________

________________________________________________________________________For Internal Use Only

Enrollment Date:__________________________ Expire:________________________

Corporate Sponsorship Fee: $________________Received by ____________________

SVCWireless Tax ID: 77-0566025

Please fax the completed form to: 408-263-8562 if you choose credit card payment.Mailing address: SVCWireless , P.O.Box 360184, Milpitas, CA 95035-0184