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This form should be completed by a person authorized by the sponsoring organization to receive official communications from WSPE and also be authorized to make on-line payment for the requested sponsorship level. You will be directed to a secure PayPal site for payment information after completing this registration page.

REGISTRATION INFORMATION


Complete all data fields and click SUBMIT below to enter registration information.
Please do NOT use commas "," in any data fields

Company Name

First Name: Initial: Last Name:

Address Line 1:

Address Line 2:

City: State: Zip Code:

Email:

Phone:

Sponsorship Level


LevelAmount
Gold$5,000
Silver$2,500
Bronze$750

Select a sponsorship level from the drop down: