The BlackElectorate.com
2007 "Business and Building" Weekend
Sponsorship Application Form
To express an interest or make a transaction in order to become a sponsor of the 2007 “Business and Building Weekend”simply complete the online application. 26 October –28 October 2007
Homewood Suites, Washington DC
*NOTE:If you are having problems accessing this form please email: smbandbevent@blackelectorate.com

First Name:
Last Name:
Position:
Company:
Street Address:
City:
State:
Zip Code:
Country:
Email:
Telephone (Numbers Only; Omit Spaces, Dashes, Etc.):
Mobile (Numbers Only; Omit Spaces, Dashes, Etc.):
Contact Person:
Sponsorship Package (Select One):  Friend / Neighbor ($75) 1
 Contributing Partner ($250) 1
 Gold Partner ($500) 1

 Platinum Partner ($1,500) 2
 Event Partner ($2,500) 2
 Title Partner ($5,000) 2
1 Secure Online Payment via Credit Card
2 A customer-service representative will contact you for payment options.