FAD Event Sponsor Registration Form Name: (required) Enter information for 8 persons sitting at table. First name, last name, organization, city and state are required. You MUST provide all 8 names by Wednesday, Nov. 15 to firstname.lastname@example.org, otherwise your seats will be released. Organization: Address: City: State: Zip: Country: Phone: Email: (Required) Registration Options: Table Sponsor ($5,000) : Table Sponsor + Honoree Reception (2 Tickets) ($6,000) : Table Sponsor + Pre/Post Event Promotion ($6,000) Total Amount to Charge: (Required) Method of Payment (Credit card or invoice) Credit Card Please send me an invoice Credit Card Information (if applicable) American ExpressDiscoverMasterCardVisa Card Number: Exp. Date: Please answer this question: 2+2=?