Yes, I want to be a sponsor at the following level:

_____$100 _____$250 _____$500 ______$750 ______$1,000

___Enclosed is a check ___Please charge (circle one) my MasterCard, Visa or

American Express Card

Credit Card information:

Number_____________________________________Expiration_________________

Signature_____________________________________________________________

Name________________________________________________________________

Address______________________________________________________________

_____________________________________________________________________

Phone________________________E-mail__________________________________

Signature_____________________________________________________________

Please print exactly how you want your firm (or individual donor) listed, including city:

______________________________________________________________________

Your Web site URL (if applicable):__________________________________________

 

Sponsorship Deadline: August 1, 2006. However, for name inclusion in ALL available promotional material, the deadline is June 15, 2006.

PLEASE SEND YOUR SPONSORSHIP CONTRIBUTION WITH THIS FORM TO:
Solo & Small Firm Conference Sponsor, Illinois State Bar Association, 424 S. 2nd Street, Springfield, IL 62701.