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Sponsor/Exhibitor Payment Form

If you have not yet submitted a sponsor application, please click here and fill out the application BEFORE making a payment.

Instructions

  • In the form below, enter the invoice number from the invoice you received when you signed up.
  • Select the sponsorship type/fee from the drop down list.
  • If you have any add-on sponsorship items, please select those as well.
  • The Total Payment should match what is on your invoice.
  • Enter the billing information in the spaces provided to complete your payment.
If you need another copy of your invoice, please email us at info@agicsymposium.org to request a copy. (*) indicates a required field.

Invoice Number Sponsor Type and Fee
Total Payment Total 0.00 USD
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To pay for other items not listed, enter a brief description in the box below on the left and the amount on the right.
Other: Description
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Other amount:
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In-Kind Code
For those providing an in-kind service. Enter the code you were provided (this should be on your invoice)
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The box will turn green when the correct code is entered and the total will be adjusted accordingly.

Billing Information
First Name(*) Please let us know your name. Last Name(*) Please let us know your name.
Organization(*)
Phone(*) Email(*) Please let us know your email address.
Billing Address(*)
City(*)
State/Province/Region(*) Zip Code (Postal Code/Postcode)(*) Invalid Input
country(*)
CC
Credit Card Number(*) Invalid Input Card Security Code(*) Invalid Input
Card Expiration(*) Invalid Input Invalid Input

 


NOTE: Your credit card statement will show payment to "Conference & Meeting Planning Services" for this transaction. Online credit card payments are processed by Conference & Meeting Planning Services for AGIC.

Please confirm that your entries above are correct. Once you click submit your payment details will begin processing.

Confirm you are human then click the Submit button once. It may take a moment for your secure, encrypted billing information to be processed.

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