2019 Sponsor Commitment Form Business Name * Contact Person Name * Address * City * State * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code * Contact Person Email Address * Contact Person Daytime Phone Number * How many students would you like to sponsor at $125 each? * Please select what type of sponsorship you prefer: At-large Students from certain counties and/or schools Every effort will be made to match your sponsorship with a student in your preferred area. However, if no students match your criteria, we will consider your sponsorship at-large. Please list specific counties and/or schools you prefer: Is your cooperative willing to provide promotional items for student giveaways? Yes No Would someone at your cooperative be interested in attending this event? Each sponsorship allows one person to attend any part of the conference and dinner with the ICC board and agriculture instructors on Thursday evening. Yes No Are you interested in learning more about the Illinois Cooperative Council? Yes No
