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Anatomy of a Breach • Tuesday, January 16
Business Partner Commitment Form
Name
First
Last
Company
Position/Title
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Email
Company Logo
Drop files here or
Select files
Accepted file types: jpg, png, pdf, psd, Max. file size: 256 MB.
Choose three key product/service categories:
Choice 1
Choose one...
Accounts Receivable Management
Automated Client Billing
Benefits/Retirement Programs
Case Management
Cash Management
Coffee/Refreshment Services
Commercial Loans
Commercial Property & Casualty
Computer Hardware
Computer Software
Copiers
Copying Services
Court Reporting & Videography
Digital Copy Services
Digital Dictation/Transcription Equipment
Disaster Prevention/Recovery
Docketing/Calendaring
Document Management/Retrieval
E-Discovery
Email/Spam Protection
Ergonomics
Facilities Management
Financial Services/Management
Folder Inserters
Furniture -New & Used
Group Benefits
Human Resources
Image Scanning
Imaging Services
Insurance-Related Services
Legal Research
Litigation Support
Mailing System/Equipment
Marketing
Moving - Offsite/Onsite
Network Administration/Consulting
Office Supplies/Stationery/Forms
Offsite Storage
Online Access to Court Records
Outsourcing
Paralegal Services
Payroll Services
Permanent Placement Services
Postal Tracking & Rate Shopping Software
Print Management
Printer/Engraver
Private Banking/Depository & Investment Accounts
Promotional Products
Publications
Real Estate/Brokerage
Records Management
Recruiting/E-cruiting/Placement Services
Relocation Consultants
Remote Notary/eSignature
Risk Management
Selective Court Case Record Feeds
Space Planning/Design
Strategic Planning
Tax & Accounting
Temp./Perm. Placement Services
Training and Development
Trial Presentation
Voice-Over IP
Web Design/Development
Other
Choice 2
Choose one...
Accounts Receivable Management
Automated Client Billing
Benefits/Retirement Programs
Case Management
Cash Management
Coffee/Refreshment Services
Commercial Loans
Commercial Property & Casualty
Computer Hardware
Computer Software
Copiers
Copying Services
Court Reporting & Videography
Digital Copy Services
Digital Dictation/Transcription Equipment
Disaster Prevention/Recovery
Docketing/Calendaring
Document Management/Retrieval
E-Discovery
Email/Spam Protection
Ergonomics
Facilities Management
Financial Services/Management
Folder Inserters
Furniture -New & Used
Group Benefits
Human Resources
Image Scanning
Imaging Services
Insurance-Related Services
Legal Research
Litigation Support
Mailing System/Equipment
Marketing
Moving - Offsite/Onsite
Network Administration/Consulting
Office Supplies/Stationery/Forms
Offsite Storage
Online Access to Court Records
Outsourcing
Paralegal Services
Payroll Services
Permanent Placement Services
Postal Tracking & Rate Shopping Software
Print Management
Printer/Engraver
Private Banking/Depository & Investment Accounts
Promotional Products
Publications
Real Estate/Brokerage
Records Management
Recruiting/E-cruiting/Placement Services
Relocation Consultants
Remote Notary/eSignature
Risk Management
Selective Court Case Record Feeds
Space Planning/Design
Strategic Planning
Tax & Accounting
Temp./Perm. Placement Services
Training and Development
Trial Presentation
Voice-Over IP
Web Design/Development
Other
Choice 3
Choose one...
Accounts Receivable Management
Automated Client Billing
Benefits/Retirement Programs
Case Management
Cash Management
Coffee/Refreshment Services
Commercial Loans
Commercial Property & Casualty
Computer Hardware
Computer Software
Copiers
Copying Services
Court Reporting & Videography
Digital Copy Services
Digital Dictation/Transcription Equipment
Disaster Prevention/Recovery
Docketing/Calendaring
Document Management/Retrieval
E-Discovery
Email/Spam Protection
Ergonomics
Facilities Management
Financial Services/Management
Folder Inserters
Furniture -New & Used
Group Benefits
Human Resources
Image Scanning
Imaging Services
Insurance-Related Services
Legal Research
Litigation Support
Mailing System/Equipment
Marketing
Moving - Offsite/Onsite
Network Administration/Consulting
Office Supplies/Stationery/Forms
Offsite Storage
Online Access to Court Records
Outsourcing
Paralegal Services
Payroll Services
Permanent Placement Services
Postal Tracking & Rate Shopping Software
Print Management
Printer/Engraver
Private Banking/Depository & Investment Accounts
Promotional Products
Publications
Real Estate/Brokerage
Records Management
Recruiting/E-cruiting/Placement Services
Relocation Consultants
Remote Notary/eSignature
Risk Management
Selective Court Case Record Feeds
Space Planning/Design
Strategic Planning
Tax & Accounting
Temp./Perm. Placement Services
Training and Development
Trial Presentation
Voice-Over IP
Web Design/Development
Other
A paragraph describing your company’s business philosophy for our directory.
Are you interested in doing an educational CLM webinar for us?
Yes
No
Consent & Privacy
(Required)
I agree.
As a participant in this program, I agree to respect the privacy of our members’ contact information. I agree this information is for my exclusive use and promise to not share such information with any others. I will include on all my e-mail correspondence a method by which our members can opt-out of future mailings.
Cyber Chapter does not guarantee business to me. In the event it is determined that our relationship is no longer a good fit, I acknowledge that no refunds will be granted.
Signature
(Required)
Sponsorship
(Required)
Price:
Sponsorship Options
(Required)
Choose your sponsorship option...
Full 2024 Exclusive Sponsorship (Limited to 4**)
Half 2024 Exclusive Sponsorship (July 1st) if Available
Full 2024 Sponsorship
Half of 2024 Sponsorship (July 1st)
**Exclusion Sponsorships may be limited to two consecutive years per business partner to allow other business partners the sponsorship opportunity.
Total
Payment Method
PayPal Checkout
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.
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