2019 MOA CEXPRESS

Complete the information below to be a sponsor at the MOA CEXPRESS on Sunday, March 3, 2019, Detroit Yacht Club on Belle Isle.

Company Name:
Partnership Contact Person:
Title:
Phone:
Email Address:
Company Address:
 
City: State: Zip:
Company Website:
Products/Services:

Please choose your sponsorship level:

Sponsor only - $500
Sponsor + table - $750
PLEASE NOTE: If your company requires additional paperwork, please let us know and we will happily comply with those requirements. Questions? Contact Taylor Hiner or Tara Paksi at events@themoa.org or call 517.371.1590.

Electronic Signature:

I agree to the terms, policies, conditions and rates set-forth by the Michigan Optometric Association.

E-signature:
   - denotes required fields