2009 OCPP Vendor Registration Form

                                                        

Our 25th Anniversary!

   "The Silver Screen Of Payroll"




 

                                   Welcome to the Vendor Registration/Payment Form

This form is used to select your level of sponsorship.  You can either pay on line via credit card (VISA, MasterCard, or American Express) and print your receipt, or, you can print an invoice to submit with your payment.

Please complete the form (fields marked with the * are required) as follows:

  1. Click in the check box or radio button next to each item you want to select.
  2. In the payment field pull-down box, click on each corresponding item that you selected in the first step. 
    To select more than one, hold down your Ctrl Key while clicking on the items you want to ensure the total amount  to be paid is correctly calculated and displayed.
  3. When ready, click on the Submit Form button and you will be go to the payment screen to complete the registration process.  You can either pay on line and print your receipt, or you can print an invoice to submit with your payment.

Company Name *
Street Address *
City *
State *
Zip Code *
Contact Name *
Phone Number *
Fax number *
Email address *

Do you require a Form W-9? *
Yes
No



Premium Sponsorship:
Oscar - $1,500


First-Tier Sponsorship:
Red Carpet - $1,250


Second-Tier Sponsorship:
Movie Star - $1,000


Third-Tier Sponsorship:
Rising Star - $800

Social Event Tickets - $50 Per Ticket:
We need tickets for the Thursday evening social event (2 are included with the Oscar and Red Carpet sponsorships)

Additional Sponsorship Opportunity (We will introduce your representative who in turn will introduce the speaker):
Keynote Speaker Sponsorship *
Yes, we would like to sponsor a keynote speaker ($1,000)
No, we will not be sponsoring a keynote speaker

Names of Attendee(s) For Badges:
1st Representative *
2nd Representative
3rd Representative
4th Representative

Electricity Needs:
Will you need electricity for your booth? (Please bring your own extension cord and power strip as we will only have a limited supply) *
Yes
No

Internet Access:
Will you need Internet access? (No charge) *
Yes
No


 
Total Amount To Pay (Use the CTRL Key and select all items requested) *
Summary Update totals
Total Amount To Pay (Use the CTRL Key and select all items requested):$0.00
Total:$0.00




If paying by check, please make payable to:  Ohio Conference For Payroll Professionals  and remit payment and invoice to:

                                                                  OCPP
                                                                  Attention:  Mary Gurgol
                                                                  P. O. Box 470028
                                                                  Broadview Heights, OH  44147

If you have any questions or require additional information, please email    cpayerle@comdocinc.com

 

 
 

 •  PO Box 26894  •      •  Columbus, OH  43226-0894  •      •  admin@apacolumbus.org  •

The Columbus Area Chapter is affiliated with the American Payroll Institute, Inc. (dba American Payroll Associatiion) but is an autonomous and independent organization.  American Payroll Institute, Inc. is not responsible for the liabilities, statements, or activities of any of its affiliated chapters.