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.         Copyright 2005 Directed Energy Professional Society   DHTML/JavaScript Menus by OpenCube

Last updated: 16 January 2003