Partnership Agreement

Partnership Agreement

Thank you for your interest in becoming involved with the West Coast District Dental Association.
Our district includes over 2,300 member dentists located in 13 counties on the west coast of Florida. There are several ways you can reach our members; become a partner, advertise in the newsletter and/or E-newsletter, exhibit at our annual meetings and/or sponsor special events.

Partnership Opportunities
Platinum Partner - $5,600
- Table Top (speaker room or pre-function area) at the Annual Meeting
- Table Top at the Summer Meeting - Naples
- 1/2 page ad for 1 year (two printed issues) of the WCDDA "Checkup" (circulation over 2,300)
- Sponsor 3 meeting events from Annual and/or Summer Meeting (see below)
- Listings in all Annual Meeting and Summer Meeting printed materials
- Sponsorship level included on WCDDA's website with company logo and link
- Company logo on course screen prior to presentation
- Company logo with sponsorship level included in the WCDDA's E-Newsletter (10 editions; circulation over 1,800)
- Sponsor/Advertising space in electronic version of the WCDDA Leadership Directory
Choose this partnership level and save $3,525

Gold Partner - $3,800
- Table Top (pre-function area) at the Annual Meeting or Summer Meeting
- 1/2 page ad for 1 year (two printed issues) of the WCDDA "Checkup" (circulation over 2,300)
- Sponsor 2 meeting events from the Annual and Summer Meetings (see below)
- Listings in all Annual Meeting and Summer Meeting printed materials
- Sponsorship level included on WCDDA's website with company logo and link
- Company logo on course screen prior to presentation
Choose this partnership level and save $1,650

Silver Partner - $2,200
- Table Top (pre-function area) at the Annual Meeting or Summer Meeting
- 1/4 page ad in one issue of the WCDDA "Checkup" (circulation over 2,300)
- Sponsor 1 meeting event at the Annual or Summer Meeting (see below)
- Listings in all Annual Meeting and Summer Meeting printed materials
- Sponsorship level included on WCDDA's website with company logo and link
- Company logo on course screen prior to presentation
Choose this partnership level and save $550

Meeting Events:
- Continuing Education Self-Study Packets (Annual or Summer Meeting)
- Special Interest Activities (Past-President's Breakfast - Annual Meeting)
- Business Meetings (Annual or Summer Meeting)
- Coffee Breaks (Annual or Summer Meeting)
- Lanyards (Annual Meeting)
- Affiliate President Round Table Meeting (Annual Meeting)
- Officer Installation/Wine & Cheese Reception (Summer Meeting)
- Officers' Retreat (Summer Meeting)
- Activities - Golf, Fishing, Volleyball, Fun Run, Family Event (Summer Meeting)
Meeting Events selected upon approval of the West Coast District Dental Association's Program Committee

Partnership levels are based on a yearly term.

Contract and Details
Date

Month Day Year
Date
Company Name
Our company is a subsidiary of / Parent Company
Company Federal ID#
Name of Representative Completing Form *

First Name Last Name
Direct Phone *

Area Code Phone Number
E-mail *
Company Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Description of services, equipment, supplies and/or products company promotes / endorses:
Advertising Contact

First Name Last Name
Advertising Contact Phone

Area Code Phone Number
Advertising Contact Email
example@example.com
Exhibit Contact

First Name Last Name
Exhibit Contact Phone

Area Code Phone Number
Exhibit Contact Email
example@example.com
Sponsorship Contact

First Name Last Name
Sponsorship Contact Phone

Area Code Phone Number
Sponsorship Contact Email
example@example.com
Please Type Name of Signer

First Name Last Name
Title
Date

Month Day Year
Date
Upload company logo here

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Redirect website link for company logo

Payment Information
Payment Method

My Products

Platinum Partner $ 5,600.00

Gold Partner $ 3,800.00

Silver Partner $ 2,200.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mail Check Payment:

WCDDA

1114 Kyle Wood Lane

Brandon, FL 33511
Check Amount
All companies applying for partnership opportunities must complete and submit an Application/Contract for Partnership Opportunities. The West Coast District Dental Association will not accept applications that are not properly completed with signature, deposit and contact names. Payment can be made by check or credit card.

We have read and agree to abide by all provisions, terms and conditions, which the undersigned applicant agrees is part of this contract for partnership opportunities.

At this time, we agree to pay the following amount (in U.S. dollars), representing the total cost for Partnership Opportunities requested. It is further understood no money will be refunded. Only credit towards other West Coast events and services will be given.
Signature

Clear
Questions? Contact the WCDDA at lissette@wcdental.org / (813) 654-2500
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