SPONSORSHIP FORM
Our company is pleased to support the scientific and educational activities of The Filed Conference of Pennsylvania Geologists
by a sponsorship grant at the level indicated below.
Sponsoring company _____________________________________________
Contact name ___________________________________________________
Address ________________________________________________________
Phone _________________________ Fax ___________________________
Email __________________________________________________________
Please fill the table below with the desired level of sponsorship opportunity.
| Sponsorship Opportunities | Recommended Amount | Other Amount | Total |
| Business/ Association Sponsor – Logo placement in publications on title page, acknowledgement page, and poster at reception, display table at reception, recognition of sponsors at banquet. | $500 | ||
| Individual Sponsor – Recognition on acknowledgements page and at banquet | $250 | ||
| Student Sponsor – You can dedicate the award in honor of a person or cause that will be announced at the scholarship award ceremony. | $250 | ||
| Total Sponsorship Amount |
- Please print out this page and fill out information to mail with check or scan and email with electronic payment.
- Please make checks payable to: Field Conference of PA Geologists Check #_________ Amount $________________
- To pay by credit card please pay on our website http://fcopg.org/ and press the donate button or call Connie Cross during business hours at 717-702-2054.
- Mail Sponsorship form to FCOPG c/o Connie Cross at 3240 Schoolhouse Rd, Middletown, PA 17057 or email form FCOPG c/o Connie Cross at ccross@pa.gov
- Email logo to khand@pa.gov, if you have any questions call Kristen Hand at 717-702-2046.