AIR Sponsorship Interest Form

Yes! I want to help my community by providing leadership in technology inclusion.

Contact Name: Required

Company / Organization Name:

Street Address Required

City: Required

State / Province / Region Required

Zip / Postal Code: Required

Phone: Required

Time Zone (Required)

Fax:

Email Address: Required

Please select the AIR sponsorship level you are interested in. Want to be recognized for your contribution in another way? Prefer to donate a different amount? Required

Premier - $25,000
Platinum - $15,000
Gold - $10,000
Silver - $7,500
Bronze - $2,500
Supporting - $1,000
Custom Sponsorship