Boston SAMPE - Sponsor Form

MAIL-IN SPONSOR FORM

The fee to become an active sponsor for one year is $200 (US Dollars). Please complete the form below and fax to 315-782-7517.

Make your check payable to “SAMPE, Boston Chapter”

and mail to:

Tim Shaughnessy

Sampe Boston Sponsor Chair

Knowlton Technologies, LLC.
213 Factory Street
Watertown, NY 13601

Phone 315-523-1173

(or click here to use Online Sponsor Form)

Welcome to the Boston Chapter of SAMPE. Along with being listed in our Newsletter, as part of this website, we are offering our sponsors the opportunity to be linked on our site. Take advantage of this opportunity to reach out to potential customers worldwide!

The fee to be a sponsor is $200 (US Dollars) and will make you an active sponsor for one year. Please print out this page and complete the form below and send it with your check payable to “SAMPE, Boston Chapter” .

Company Name:

______________________________________

Telephone:

________________________

Mailing Address:

_________________________________________

Fax Number:

___________________________

City:

________________________________________

State:

___________

Zip:

_______________

Company Representative:

_____________________________________

E-mail:

____________

Company Web Site Location:

________________________________________________________________

If you have any questions, please contact the undersigned at 315-523-1173

Thank you for your support!

Tim Shaughnessy

Sponsor Chairman, Boston SAMPE Chapter