2001 FIRST Conference Sponsorship Request Form
		----------------------------------------------


All requests for sponsorship must use this form. All incoming requests are 
handled on a first come, first served basis. Prior to completing this 
sponsorship request form please review the terms and conditions below. Print 
and/or fax a completed and signed copy of this form either to:

                    CAPS, Ltd.
                    2001 FIRST Conference
                    (Attention Phoebe J. BOELTER)
                    212 West Washington, Suite 1804
                    Chicago, IL 60606
                    USA
                    Phone: +1 (312) 372-1255
                    Fax: +1 (312) 372-1427
                    E-mail: capsltd@mcs.com 

or to the local sponsorship contact:

                    Cert-IST
                    2001 FIRST Conference
                    (Attention Michel MIQUEU)
                    82 Route de Bayonne
                    31300 Toulouse
                    FRANCE
                    Phone: +33 562 74 85 36
                    Fax: +33 561 49 54 82
                    E-mail: Michel.Miqueu@Cert-IST.com
                     




	Sponsor Information
	-------------------
Company Name (as it should appear on recognition):
Contact Title: 
Contact First and Last Name:
Address:
City: 
State/Province:
Zip/Postal Code: 
Country:
Phone (include country code):
Fax: (include country code):
Email Address: 
WWW URL:









					bPage 1/2	
--------------------------------------------------------%<---------------------
	Sponsorship Level Requested: (check all that apply)
	---------------------------


Platinum Conference Sponsor [ ] USD $25,000

Gold Conference Sponsor [ ] USD $12,500

Silver Conference Sponsor [ ] USD $7,000

Individual Sponsorship Packages
          Conference Terminal Room [ ] Equipment & Services only
          Conference Photocopying [ ] Equipment & Services only
          Conference Dinner [ ] USD $5,000
          Conference Bags [ ] USD $4,000
          Conference Welcome Reception [ ] USD $2,500
          Conference Shirts [ ] USD $2,500
          Conference Binders [ ] USD $2,500
          Conference Lunch - Monday [ ] USD $2,000
          Conference Lunch - Tuesday [ ] USD $2,000
          Conference Lunch - Wednesday [ ] USD $2,000
          Conference Lunch - Thursday [ ] USD $2,000
          Conference Lunch - Friday [ ] USD $2,000
          Conference Tea/Coffee - Monday [ ] USD $1,000
          Conference Tea/Coffee - Tuesday [ ] USD $1,000
          Conference Tea/Coffee - Wednesday [ ] USD $1,000
          Conference Tea/Coffee - Thursday [ ] USD $1,000
          Conference Tea/Coffee - Friday [ ] USD $1,000

Total amount of sponsorship requested: USD $






Signature: 						Date:









					Page 2/2