Sponsor Secure Credit Card Submission Form

This form is used to collect credit card information securely for NAEPC sponsors. Please note that payments are not processed automatically.

Please select your level of support below and complete all required fields. You may leave the "affiliated local council" field blank.

The commitment form serves as your receipt for the transaction.

Thank you for your support of our association and leaders in the estate planning community!

Purchase

Options

$15,000.00 - Patron

$5,000.00 - Virtual Conference Sponsor (Both Conferences)

$3,000.00 - Virtual Conference Sponsor (One Conference)

$2,250.00 - Virtual Conference Exhibitor (Both Conferences)

$1,250.00 - Virtual Conference Exhibitor (One Conference)

$800.00 - Virtual Conference Supporter (Both Conferences)

$500.00 - Virtual Conference Supporter (One Conference)

$1,500.00 - Webinar

$1,500.00 - Council Activities

Billing Information

First Name

Last Name

Designations

Company

Address

City

State & Zipcode

Phone Number

Email Address

Affiliated Local Council

Payment Method

Card Type

American Express

Mastercard

Visa

Discover

Card Number

Expiration Date

Billing Zip Code

Thank You for your purchase!

Name:

Item: Sponsor Secure Credit Card Submission Form

Option:

Total Cost: $

PLEASE PRINT THIS PAGE AS YOUR RECEIPT. This is the only receipt you will receive.

Thank you for your order!

Affiliated Councils

Unaffiliated Councils