2022 CCIF Sponsorship Program Please contact info@ccif.ca if you have issues filling out the form. Step 1 of 2 50% Name* First Last Company Name* Address*(If you are paying with a credit card, the address entered here MUST match the credit card address to process payment successfully) Street Address Address Line 2 City Postal Code / ZIP Province/State*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCountry*If outside Canada or USA, please contact info@ccif.ca.CanadaUSAYour Email* Enter Your Email Confirm Your Email Additional Email for Receipt RecipientIf you would like to include an additional recipient for the receipt, please enter their email here. If not, leave the field blank. The email entered MUST BE DIFFERENT from the one above. Receipt Recipient Email Confirm Receipt Recipient Email Phone Number*2023 CCIF Corporate Sponsorship Terms and Conditions*Download our 2022 Corporate Sponsorship BrochurePlatinum ($10,000)Gold ($5,000)Silver ($2,500)Bronze ($1,500)Platinum ($10,000) Price: Gold ($5,000) Price: Silver ($2,500) Price: Bronze ($1,500) Price: General Meeting Sponsorship 2022 CCIF Toronto: February 3-4 ($1000) 2022 CCIF Montreal: June 2-3 ($500) 2022 CCIF Vancouver: October 6-7 ($500) General Meeting Sponsorship does not include event registration. You will be required to register separately once registration opens.Additional Sponsorship Opportunities I-CAR Training Program ($2,500) Average of 459,000 page views to the I-CAR website per month. I-CAR Training Program ($2,500) Price: 2022 CCIF Toronto: February 3-4 ($1000) Price: 2022 CCIF Montreal: June 2-3 ($500) Price: 2022 CCIF Vancouver: October 6-7 ($500) Price: {all_fields} Discount Price: $ 0.00 CAD Total $ 0.00 CAD Coupon Code Payment Option* Credit Card Cheque Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name I agree* to the terms and conditions specified in this engagement and consent to receiving an invoice related to the items selected. Payment must be made out to AIA Canada and mailed to 180 Elgin Street, Suite 1400, Ottawa, ON, K2P 2K3 before January 15th, 2022. • In no event shall either party be liable to the other party for special, indirect, incidental, or consequential damages, arising out of, but not limited to, loss of data, loss of use, or loss of profits arising hereunder or from the provision of services, the foregoing limitations shall not apply to indemnification or intentional misconduct. • Neither party shall be liable to the other for delays or failures in performance resulting from causes beyond the reasonable control of that party. • This Agreement shall be interpreted under the laws of the Province of Ontario, Canada.Is a PO Number required before processing this order?* Yes No Is an official PDF invoice required? Yes No If no, the confirmation email will be considered as the invoice for payment.HiddenNameThis field is for validation purposes and should be left unchanged.