HUMANAE VITAE 50 CONFERENCE Saturday, May 12, 2018 Saints Simon and Jude Parish West Chester, Pennsylvania Sponsor and Exhibitor Registration Form Name ___________________________ Organization/Business _______________________________ Address _______________________ City ___________________ State _____ Zip ______________ Email __________________________________ Phone Numbers _____________________________ Comment ___________________________________________________________________________ Sponsorship Levels Platinum - $1,000 Gold - $500 Silver - $250 Bronze - $125 Individual Listing - $100 Exhibitor - $100 For questions regarding exhibitor tables, please contact Rich Junod at rjunod@gmail.com; 610-405-0498 I am enclosing $____________________ to be a _________________________________ sponsor. I enclose the following donation to support this Conference $____________________. Sponsors or exhibitors can register and pay by credit card by visiting www.HV50Philly.com The following people will be attending this Conference on behalf of our organization/business. __________________________________________________________________________________ Please arrange an exhibitor table for our organization/business. Comment: _________________________________________________________________________ The deadline for the submission of sponsorships or exhibits is Friday, May 4, 2018. Please make a check payable to "Pro-Life Conference" and return it, with this form, to Pro-Life Conference, 300 Greenwood Road, Lansdale, PA 19446. For questions, please call 215-393-3610.