Chapter Sponsorship Participation Form
The Society of FSP is a professional association which seeks to provide our members with networking
and educational opportunities, enabling them to better serve the public to achieve their financial
goals. Our association depends upon the support of sponsors to provide services to our members.
Please provide your contact information and method of payment below.
Name: _____________________________________________________________________________
Organizat ion (please specify exactly as it should appear in list ings):
____________________________________________________________________________________
Address: ____________________________________________________________________________
City: ________________________________________ State:_____________ ZIP: _________________
Telephone: ________________________________ Fax: ______________________________________
Web site: ____________________________________Email:__ ________________________________
**Please e-mail your company logo to [email protected].
Sponsorship Level: (select all that apply)
 Gold Medallion Chapter Sponsorship ($1000)
 Silver Medallion Chapter Sponsorship ($600)
 Annual Meet ing Sponsorship- Premier ($600)
 Annual Meeting Sponsorship- Elite ($400)
 Fall Symposium Event Sponsorship- Premier ($1000)  Fall Symposium Event Sponsorship- Elite ($600)
 Fall Symposium – Breakfast Sponsor ($450)
 Fall Symposium – Lunch Table Sponsor ($300)
 Fall Symposium – Morning Break Sponsor ($300) Fall Symposium – Afternoon Break Sponsor ($300)
 Membership Mixer - Wine & Cheese Event at
 Membership Mixer “mini” Sponsor ($100)
Your Company’s Locat ion 
 Professional Development Seminar ($300)
Payment: (Check made payable to SFSP)
Check
Visa
MasterCard
Discover
Am Ex
Card # _______________________________________ Exp. Date __________________ Sec. # __________
Name on Card _____________________________________________________________________________
Signature ____________________________________________________ Card Type ___________________
Billing Address_____________________________________________________________________________
Please mail or fax this form with payment to:
Society of FSP Columbus Chapter
17 S. High Street, Suite 200
Columbus, OH 43215
Phone: 614-221-1900 Fax: 614-221-1989
E-mail: [email protected]