CPN's Sponsorship Registration


Company Name:
Company Address:
Country:
Company Phone Number:
Company Fax Number:
Primary Contact's Name:
Primary Contact's E-Mail Address:

Please choose your Sponsorship Package: Diamond Sponsor (3500.00 USD)
(Subject to Availaibilty) Platinum Sponsor (2500.00 USD)
Gold Sponsor (2000.00 USD)
Silver Sponsor (500.00 USD)
Bronze Sponsor (250.00 USD)


Credit Card Details:

PLEASE NOTE: If you are uncomfortable giving out your credit card details in this form, please do not hesitate to call CPN Headquarters and relay the information to us there. Our phone number is (905) 671-0261, and our fax number is (905) 671-8061.

Credit Card Type:
Credit Card Holder's Name:
Credit Card Number:
Date of Expiry:

By submitting this information, you hereby certify that all the aforementioned information is verified and accurate.