2020 YBS Partnership/Sponsorship Registration Form

2020 YBS Partnership/Sponsorship Registration
Contact Details
Organization Name
Organization Contact Name

First NameLast Name
Organization Contact Email
example@example.com
Organization Phone Number

Area CodePhone Number
Choose Your Package
Please choose your Partnership/ Sponsorship Package:
Sponsor Amount:
Total ($)
Total (For print)
Please choose your payment method
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Billing Contact

First NameLast Name
Billing Contact Email
example@example.com
Billing Phone Number

Area CodePhone Number

Payment

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Make checks payable to “Virtual Enterprises International, Inc.” and mail to:

ATTN: Moe Hossain
Virtual Enterprises International, Inc.
122 Amsterdam Ave, Rm
New York, NY 10023

Full payment must be received no later than March 27.
Should be Empty: