TIPtug Registration — Trauma Intervention Program of Western North Carolina

Register here to sponsor the event:

Platinum, Gold and Silver sponsors are invited to enter a team and to set up a booth or demonstration at no additional cost.

Name

First Name

Last Name

Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Sponsorship Level

Platinum $2000

Gold $1500

Silver $1000

Bronze $500

General Donation

I want to register a team:

Yes

No

Line

I want to host a booth:

You must provide your own table and tent. Tent legs must be weighted.

Yes

No

Purpose of Booth

Comments for TIP

Register here to host a booth, enter a team, or enter an individual :

Name

First Name

Last Name

Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

I want to sponsor a team: $350

Yes

No

I want to host a booth: $100

You must provide your own table and tent. Tent legs must be weighted.

Yes

No

Purpose of Booth

I want to register an individual: $45

Yes

No

Individual's Name

Comments for TIP

Pay Online

Return to TIPtug Home Page

Trauma Intervention Programs, Inc is a 501(c)3 nonprofit. Donations are tax-deductible as allowed by law.

Tax ID # 33-0317893

2024 TIPtug Online Registration

Trauma Intervention Program