Public Safety Peer Support Association

Conference Supporter Registration

After submitting this form, you will be taken to a page with more information about how to submit your payment.

Organization/Business Information
Organization or Business Name*
Mailing Address*
Street Address Address Line 2 City State Zip
Point of Contact Information
Name*
First Last
Phone*
Email*
Additional Information
Sponsorship Level*
- Hero Sponsor (Goodie Bags) - $5000
- Hot Shot Sponsor (Breaks) - $3500
- Warrior Sponsor (Lunch) - $2500
- Legacy Sponsor (Social Night) - $2500
- Partners - PSPSA Conference Exhibitor - $500
- Front Line Sponsor (specify amount below)
- Conference Silent Auction / Opportunity Drawing Donor
Other amount
Silent Auction/Opportunity Drawing Donated item
Payment Method*
- Check (payable to PSPSA)
- PayPal
- Other (specify below)
Additional Payment Method information
Please Submit Your Logos
For inclusion on event material, we must receive your high-resolution logos in COLOR and BLACK & WHITE (in EPS, AI, PDF, or JPG format).

Logos are due by August 30, 2019. You may upload them here, or may submit by email to conference@pspsa.org
Logo files
Drop files here or

Accepted file types: eps, ai, jpg, pdf.
Comments or Questions