Registration and Certificate system

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Event Sponsor Registration

Event Sponsor Info
Organization Name
Mailing Addr line 1
Mailing Addr line 2
Online certificates?
Contact Info
Salutation
First Name
Middle Name
Last Name
Suffix
Web Site (do not forget http://)
email
password
repeat password
Security Question 1
Security Answer 1
Security Question 2
Security Answer 2
Office Phone
Logo (jpg only):
Cert Background name:
Internet and Social Info
Sponsor URL
Facebook URL
Twitter URL
Payment Info
Authorize.Net ID 1
Authorize.Net ID 2
PayPal ID