Silicon Valley-China Wireless Technology Association

1. Silicon Valley-China Wireless Technology Association SVCWireless Tax ID: 77-0566025 SVCWireless Corporate Sponsorship Form Company Name: _______________________________________________________Company Address: _____________________________________________________Your Name & Title _____________________________________________________Telephone _______________________ Fax: _________________________________Company Representative to SVCWireless__________________________________Telephone: _______________________Fax: _________________________________Mailing Address: _______________________________________________________ Corporate Benefit Packages Selected: ____ Diamond Package ($5,000/year) ____ Gold Package ($2,000/year) ____ Platinum Package ($3,000/year) ____ Silver Package ($1,000/year) Signature (Company Representative):_________________________Date_________ Method of Payment: ___Check (payable to SVCWireless) ___Credit Card(circle one) Visa MasterCard Expiration Date __________________________________ Acct Number:_____________________________________ Name on the card _________________________________ Please sign here ___________________________________ ________________________________________________________________________For Internal Use Only Enrollment Date:__________________________ Expire:________________________ Corporate Sponsorship Fee: $________________Received by ____________________ Please fax the completed form to: 408-263-8562 if you choose credit card payment. Mailing address: SVCWireless , P.O.Box 360184, Milpitas, CA 95035-0184