Pearl Collective Sponsor Order Request Form

Pearl Collective Sponsor/Speaking Order Request Form

This form is for the submission of sponsorship or speaking order requests and to record critical information to the Pearl Collective team for a an event Sponsor. Please complete this as fully as possible.

In order to properly process your order, we must have ALL the details for the sponsor, sponsorship, or speaking engagement included in the agreement. Please detail each piece included (Event Admission, BAFs, etc..) with the associated dollar value.

Also, please verify the credit card information to be used and the specific contact record this order is to be placed on. If any of this information is incomplete it WILL delay the processing of this order. Thank you.

PLEASE READ THE FORM COMPLETELY BEFORE SUBMITTING THE REQUEST.

Submitter*

Please select your name so we'll know who submitted this record in case of questions.

Sponsor/Speaking Contact Name*

All submissions update/create an Infusionsoft record and require a personal contact name. Please enter the person who would be the direct contact for this account.

First Last

Sponsor/Speaking Contact Phone

If this is a new sponsor/speaking venue please enter a phone number.

Sponsor/Speaking Name (Company)*

If this is a new sponsor/speaking venue please enter a company name.

Contact Email*

(Please verify this is the contact's Infusionsoft email address, if already in the system.)

Sponsorship/Speaking*

Sponsorship/Speaking Program Fee

Enter the sponsorship program or speaking engagement fee for this request.

Fees Total Amount*

(All numbers should total to this number)

Payment Agreement Details*

Please describe the payment agreement details that should be included in the Order Form. (i.e. first, last payment, dates, time delays, etc... )

Note: Payments have a start date and a specific time period between the payments. Creative payments aren't supported in Infusionsoft.

Payment Method Details*

ATTENTION - Changes
This field is no longer for full credit card information. CC numbers are in the following fields. Include ONLY name, address, and phone information in this field.
If a card on file is called for please verify the card exists and is valid in Infusionsoft.
Required Here: Full name on the card, Card billing address, and Phone
Any missing or incomplete information ~will~ cause delays in processing the order, so please be thorough.

Credit Card Details

This information will be saved only in this database and will not be posted to Infusionsoft or Slack. Please double check all information.

Credit Card Type*

Select the credit card type

Full Credit Card Number

These fields will be encrypted so please confirm the credit card number.

Credit Card Expiration Date

Enter the expiration date on the credit card.

Credit Card CVC

Enter the security code from the credit card.

Other Notes Regarding Order Form

Please expand on all details that are pertinent to creating and completing the Pearl Collective order form. When created, each
product/element in the order form usually has a value associated with it. If the cost is quoted without a breakout,
be sure to list all elements that are included.