Event Commitment

Please complete this form if you agree to participate in this event.

Registration Information

Science Festival

3/6/2013
Pennsylvania College of Technology, Williamsport, PA

Event from 4:30 - 7:30pm. Setup from 3:30 - 4:30pm.

Business Information Business name
Contact First name
Contact Last name
E-mail address
Phone
Fax (optional)

Registration Information (optional) Number of Tables needed
Number of Chairs needed
If needed, specify the number of electrical outlets required

Sponsorship (optional)

This year we are pleased to introduce sponsorship opportunities for local companies. Sponsors receive recognition at the event and Technology Futures Website. There are three levels of sponsorship:

Gold: $1,000.00
Silver: $500.00
Bronze: $100.00

Dollar amount of sponsorship
$ Requested usage for funds