Please complete the following on-line Corporate Partners Sponsorship form for 2008. After entering your information, click ONCE on "Send Information" at the bottom of this form to make your reservation, then WAIT for your submission confirmation and PAYMENT OPTIONS. Keystone AAHAM now accepts CREDIT CARD PAYMENTS!

(Note: You may see a warning that this submission is not a secure transaction. This means that sending your registration information is the same as sending an email message. If prompted, simply click on "OK" or "Send" to submit your information).

Name of Corporate Partner (Company or Organization):

Name of Contact Person
Email Address
Title

Address
Phone Number
Fax Number

Sponsership Level
(Platinum Plus, Platinum)
(Gold, Silver, Break)
Amount
($1,500, $1,000)
($750, $500, $250)

Please use the credit card options on the next screen OR mail your check made payable to KPAMA to:

Roger Poremsky, CPAM
Re: Keystone AAHAM Sponsorship
PATHS
1405 Cedar Crest Blvd., Suite 53
Allentown, PA 18104

Name of Contact Person	Email Address	Title
Address	Phone Number	Fax Number
Sponsership Level (Platinum Plus, Platinum) (Gold, Silver, Break)	Amount ($1,500, $1,000) ($750, $500, $250)