Sponsor Donation Form

If you click "send" at the end of this document will automatically be e-mailed to us at gillneer@internetbar.org using Microsoft outlook if Microsoft outlook is your default e-mail application. Your browser and/or anti-virus program may ask you to verify that you want this e-mail sent. Please click "allow", "accept", or "yes" if prompted.

First name:
Last name:
Or Company Name:

Date Of Birth:

Address:
Street: City: State/Providence:
Country: Zip Code (If Applicable):

Phone Number:
E-mail Address:

How did you hear of InternetBar?

An IBO Website
Word of Mouth
Online Search Engine
Materials from a Conference or Bar Meeting
Other:

How would you like to be involved with InternetBar?

Tentative Donation Amount: $

Would you like to talk to an IBO representative before making a donation?
Yes:
No: