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: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming 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.