Sponsorship and Membership Form

Silicon Valley Indian Professionals Association (SIPA)

Company Information

Company Name: ___________________________________

Address: ___________________________________

___________________________________

Nature of Business: ___________________________________

Number of employees: ___________________________________

URL for link from SIPA: ___________________________________

Contact Information

Name: ___________________________________

Title: ___________________________________

Day-time Phone: ___________________________________

 

Products and Services

Brief Description of Product and Service

Number of Years

in this area

   
   
   

Please check the SIPA program(s) that you are interested in participating:

[ ] Corporate Membership $600 per year

[ ] Corporate Sponsorship $5000 per year

[ ] Event Sponsorship $2500 per event

 

[ ] Check here if you want your name EXCLUDED from membership directory and mailing list offered to SIPA approved users.

 

Please make checks payable to SIPA and mail to P. O. Box 3533, Santa Clara, CA 95055.

Signature: ___________________ Date: _____________