Information Systems Security Association

SANS and WIS SIG Partner Event Sign Up Form

Primary Contact Information:
Organization Name *

Name *
Email *
Phone Area Code *
Phone (enter numbers only) *
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On Site Contact Name *
On site contact Email *
On site contact Area Code and Phone Number (enter numbers only) *
Which event are you interested in partnering with? (choose all that apply) *	5/3/16 -- San Diego, Manchester Grand Hyatt 5/9/16 -- Houston, Royal Sonesta Hotel 6/13/16 -- Washington DC, Washington Marriott Wardman Park 7/12/16 -- Denver, Embassy Suites Denver Downtown Convention Center 7/27/16 -- San Jose, The Westin San Jose 8/23/16 -- Chicago, The Palmer House Hilton 9/14/16 -- Las Vegas, Tuscany Suites and Casino 10/11/16 -- Baltimore, Sheraton Inner Harbor 12/13/16 -- Washington DC - CDI None
Upload your logo:
Link to associate with your logo:
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Please select the event in which you would like a marketing table? *	5/3/16 -- San Diego, Manchester Grand Hyatt 5/9/16 -- Houston, Royal Sonesta Hotel 6/13/16 -- Washington DC, Washington Marriott Wardman Park 7/12/16 -- Denver, Embassy Suites Denver Downtown Convention Center 7/27/16 -- San Jose, The Westin San Jose 8/23/16 -- Chicago, The Palmer House Hilton 9/14/16 -- Las Vegas, Tuscany Suites and Casino 10/11/16 -- Baltimore, Sheraton Inner Harbor 12/13/16 -- Washington DC - CDI None
Would you like to participate in our partner raffle? (Yes or No) *	Yes No
If yes, what item(s) will you be raffling off?