NGEDA Corporate Partnership and Conference Registration Form

Comments

This field is for validation purposes and should be left unchanged.

I WILL BE PAYING FOR MY PARTNERSHIP WITH:(Required)

MY CREDIT CARD (a 3% fee will be applied)

A CHECK

Who will be paying the invoice?(Required)

Primary Associate

Someone else

Name of person paying the invoice(Required)

First Last

Email of person paying the invoice(Required)

NGEDA Partner Membership Level:(Required)

Please indicate the level of partnership you would like to purchase (full description of each level is listed on the NGEDA Corporate Membership page).

Company Name(Required)

Company website(Required)

All Partner Levels include company logo with a link to a designated website.

Company Logo

Please attach the logo you would like NGEDA to use on their website.

Accepted file types: jpg, jpeg, png, gif.

Break Sponsorship Details

Each level of Partnership includes break sponsorship benefits. Please see Corporate Membership and Partnership page for details.

Directory Advertisement Details

Each level of Partnership with NGEDA includes ad space in our print directory. Please email Maria Kelly at mariakellyllc@gmail.com with your ad details by 2 Nov 2027.

Address Description(Required)

This is my personal address.

This is my company's address.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Corporate Primary Associate's Name(Required)

Prefix First Last

Primary Associate's Title

Primary Associate's Phone(Required)

Primary Associate's Email(Required)

The email address you are most likely to check regularly

Enter Email Confirm Email

Name as you would like it to appear on your conference badge:(Required)

Second Corporate Associate Name

Prefix First Last

Second Corporate Associate title

Second Corporate Associate email

Our second associate will represent our company at the NGEDA Conference:(Required)

Yes

Second associate name as you would like it to appear on their conference badge:

Third Corporate Associate name

Prefix First Last

Third Corporate Associate title

Third Corporate Associate email

Fourth Corporate Associate name

Prefix First Last

Fourth Corporate Associate title

Fourth Corporate Associate email

Annual NGEDA Conference Registration

Please answer the following questions as it relates to your company's participation in the NGEDA Conference being held in Salt Lake City, January 4-7, 2027. Partner levels include 2-4 conference registrations, and additional conference registrations can be purchased for $200 per attendee.

Elite Partnership Details

You selected your Partner level as "Elite". This category includes our Partners that support NGEDA by sponsoring entire events such as a breakfast or our awards banquet. Please use the above space to indicate the event you are supporting and NGEDA will only invoice you for your $200 membership and any additional conference registrations you've indicated you need at this time. Thank you for your generosity and unwavering support of this organization!

Exhibit Table

All Partner Levels include an exhibit table and is recommended to help facilitate engaging with state Executive Directors about their upcoming events and leadership engagement opportunities.

Yes, I'd like an exhibit table

No, thank you. I don't need an exhibit table.

Do you have additional conference attendees NOT named above?

Yes

If you responded yes, please provide the name(s) as you would like them to appear on conference badges.

How many additional registrations beyond those included with your membership would you like to purchase?

Price: $200.00

SUBTOTAL

3% credit card fee

Price: $0.00

TOTAL

I HAVE CHOSEN TO PAY FOR MY MEMBERSHIP BY CHECK
I understand that my check must be received by NGEDA within 10 days in order for my membership to be valid. If my check is NOT received in time, my membership WILL NOT be recorded.

I understand and agree(Required)

YES

You have said that you do not agree with the terms of payment by check for your membership. You may return to the top of the form and select to pay by credit card or you will need to contact the NGEDA office to complete your membership.

NGEDA Corporate Partnership Form

Break Sponsorship Details

Directory Advertisement Details

Annual NGEDA Conference Registration