Mail-in Sponsorship Form to:
Child Care Council of Greater Houston, Inc.
6220 Westpark, Suite 150
Houston, Texas 77057
COMMITMENT FORM
STEM Partner (Title Sponsored) $7,500
Early Childhood Partner $5,000
Business Partner $3,000
Education Partner $1,500
Community Partner $850
General Seat $75
Your Name of Company Name: (As you wish it to appear in all printed materials.)
Important Print Deadline: Please return financial contribution by November 21, 2016 to be included in the program.
Contact/Representative: __________________________
Company/Organization: ___________________________
Address: __________________________
City/State/Zip: __________________________
Phone: __________________________ FAX: _________________________________
Email: __________________________
Please make checks payable to Child Care Council of Greater Houston, Inc. and mail to the address above or simply FAX this form to 713.266-6586 to be invoiced.
Check enclosed $ _______ Please invoice our company for $_________________________
I/We cannot attend, but enclosed is a check for $_______________________________________________
Please bill credit card for $ ______ American Express____________ Discover ___________
MC Visa
Card #: _______________________
CID (3 digit code): _________________________ Expiration Date: ______________________________________
Name on card: _____________________________________ Date: _____________________________________
Billing Address if different from above:
____________________________________________________________________________________________
____________________________________________________________________________________________