Iowa Association for Energy Efficiency

Become a Platinum Sponsor Online

Please complete the form to become a Platinum Sponsor ($5,000+).

You can pay online via credit card. To pay via check use this form.

* denotes a required field.
Company/Organization Name: *
Website URL: *
Address: *
City: *
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Contact Name: *
Contact Phone Number: *
Contact Email Address: *
Organization Members

Please list who should receive the 10 organization memberships included with this sponsorship.

For each member, include First Name, Last Name, Phone Number, and Email Address.

Organization Member 1:  
Organization Member 2:  
Organization Member 3:  
Organization Member 4:  
Organization Member 5:  
Organization Member 6:  
Organization Member 7:  
Organization Member 8:  
Organization Member 9:  
Organization Member 10:  
Payment Information
Product Quantity Price Subtotal
Platinum Sponsor:   $


Scholarship Fund Donation:   $

Make a one-time donation to our scholarship fund for students attending accredited post-secondary institutions in Iowa

Total Amount Due:  
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