• INTEGRITY • COMMON SENSE • SOUND SCIENCE • FISCAL RESPONSIBILITY •

2024 Environmental Achievement Awards

Thursday May 16, 2024 || 5:30 – 9:00pm

Detroit Yacht Club || The Fountain Room

(2024) Environmental Achievement Award Registration/Sponsor Form

Name*
First Last
Company*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
We would like to sponsor the following
Please select a sponsorship option (if applicable) from the following list. Descriptions of each level can be viewed on the downloadable Sponsorship Info PDF on the EAA webpage.
Members @ $125*
Current EMA members may purchase tickets (individual and bulk) for $125 / ticket
Non-Members @ $140
Persons/companies who are NOT current members may purchase tickets (individual and bulk) for $140 / ticket
Additional Tickets for Sponsors, Nominees, and Past Award Recipients @ $110
Those purchasing a sponsorship package, current award nominees, and past award recipients may also purchase additional tickets at a discounted rate.
Table of 10 @ $1,100
Both current EMA members and non-members may purchase a full table of 10 for $1,100 / table
Guest Names*
Please provide the first and last names of your included guests. All guests will be provided with a name tag at check-in. If you do not have a current list of attendees, please make note in the text field and provide them at your earliest convenience to emadirector@gmail.com
Total
$0.00
Credit Card Type*
Please select a credit card type from the list below
Credit Card Number*

Please enter credit card number
CVV*

Please enter the 3-digit security code on the back of your card (4-digit on AMEX)
Expiration Date*

Please enter the expiration date of your card ( mm/yy )
Billing Zip Code*

Please enter the zip code for the billing address associated with your card
By submitting this application, I consent that the EMA may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership. If paying via credit card, I consent that the EMA may process my payment manually via Square and sign for on my behalf. I understand that if paying via credit card, all payments are manually processed by the EMA and thus will not be processed automatically. I understand that I will NOT receive a refund for any event purchases if I or any persons associated with my purchase are unable to attend.*
- Accept Communications and Payment Agreement
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• INTEGRITY • COMMON SENSE • SOUND SCIENCE • FISCAL RESPONSIBILITY •

2024 Environmental Achievement Awards

Thursday May 16, 2024 || 5:30 – 9:00pm

Detroit Yacht Club || The Fountain Room

(2024) Environmental Achievement Award Registration/Sponsor Form

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