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.

Asterisks note the fields required by DEPS to process your registration.

* Company Name:
   Division:
* Point of Contact:
 
* Mailing Address:
* City:
* State:
* Zip code:
 
* Contact Phone:
   Fax:
* Contact E-mail:
* E-mail (confirm):
  To reduce errors, we ask that you enter the contact email a second time.
 
* Donation amount:
Sponsor ($600)
Sustaining Sponsor ($1250)
Silver Sponsor ($2500)
Gold Sponsor ($6000)
Other  $   (Enter Amount) 		Note: Sponsors receive a free one-year individual membership for each $600 contribution. Please complete this membership application to provide names and contact information.
 
* Are you renewing your sponsorship?    Yes    No
 
* Payment:
      Submit credit card payment at this time using our secure server
      Send payment 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: 24 June 2010