Sponsorship Application

Apply to become a sponsor.

Step 1 :: Tell us about yourself
* First name
* Last name
* Company
* Title
* Brief description of what your organization does
* Sponsorship Type	Platinum ($3,000) Gold ($2,000) Breakfast ($500)
* Payment Method	Check to follow Online Credit Card/Paypal
Step 2 :: Member sign in :: this will be your login to the members area
* Email
* Password
Step 3 :: Contact details
* Phone
Mobile
Fax
Address 1
Address 2
City
State
Zip
Website	* PLEASE NOTE - USE THIS FORMAT * http://www.licapital.org
Step 4 :: Enter your comments then click the button below to submit your application
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10.8.2010
Capital Forum

Come join us October 8th at 8am to learn about the business plans and the investment opportunities of regional emerging companies.

Need Directions?
Click for a map/directions to
68 S. Service Rd, Melville

Questions?
Call 516.338.1801
or contact us online

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