IISC Executive Sponsor Form

Thank you for wanting to become an Executive Sponsor for the Iowa-Illinois Safety Council.  We appreciate your commitment to safety!  Because of your sponsorship you can help us achieve great things in the areas of safety, health and environment - for the workplace, home and community.  

For In-Kind Sponsorships please contact Nancy Hankinson at Nancy@iisc.org or 515-276-4724 ext. 230.

Choose Your LevelBag or Lanyard SponsorTotal Sponsorship Amount Payment Information
 You may also call us at 515-276-4724 with your credit card info. Please do not send your credit card info via email or fax. Company Name Contact Name Title Mailing Address  City / State / Zip  Phone Email Company Website