DIRECTED ENERGY PROFESSIONAL SOCIETY


Sponsor Application

Thank you for sponsoring the important work of the Directed Energy Professional Society. This form permits you to join DEPS as a sponsor. Several methods of payment are offered, including using our secure server to pay on-line at this time.

If you prefer to register manually, please print this sponsor application and follow the instructions provided.

All information, with the exception of a fax number, is required to process the sponsorship application.

Company Name:
Division:
Point of Contact:
 
Mailing Address:
City:
State:
Zip code:
 
Contact E-mail:
Contact Phone:
Fax:
 
Donation amount:
Sponsor ($500)
Sustaining Sponsor ($1000)
Silver Sponsor ($2000)
Gold Sponsor ($5000)
Other  $   (Enter Amount)
Note: Sponsors receive a free one-year individual membership for each $500 contribution. Please complete this membership application or provide names and contact information.
 
Are you renewing your sponsorship?    Yes    No
 
Payment:
      Submit credit card payment at this time using our secure server
      Submit credit card information to DEPS by phone
      Send check to DEPS
 
** DEPS is a 501(c)(3) non-profit organization.


Once you have completed the information on this form, press the Submit button to proceed to on-line payment. The Reset button will clear the entire form.

     

 
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Last updated: 16 January 2003