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
Partnership Level*

Platinum $5,600Gold $3,800Silver $2,200
Which meeting would you like to attend?

Summer MeetingAnnual Meeting
Company Name*
Our company is a subsidiary of / Parent Company*
Company Name to Appear on Event Signage*
City, State for Signage*
Company Federal ID#
Name of Representative Completing the Form*

First NameLast Name
Direct Phone*

Area CodePhone Number
E-mail*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Description of services, equipment, supplies and/or products company promotes / endorses: *
Upload company logo here*

Browse Files

Cancelof
Redirect website link for company logo*

Advertising Information
Advertising Contact

First NameLast Name
Advertising Contact Phone

Area CodePhone Number
Advertising Contact Email
example@example.com
1/2 page Ad (8" x 4.875" Horizontal, PDF File)

Browse Files

Cancelof
1/4 page Ad (4" x 4.875" Horizontal, PDF File)

Browse Files

Cancelof
Exhibit Contact*

First NameLast Name
Exhibit Contact Phone*

Area CodePhone Number
Exhibit Contact Email*
example@example.com
Sponsorship Contact

First NameLast Name
Sponsorship Contact Phone

Area CodePhone Number
Sponsorship Contact Email
example@example.com
Platinum partnership includes both the Annual and Summer Meeting.

Summer Meeting
Exhibit Hall Floor Plan
Booth Number Preferences
Companies we prefer not to be located near or next to:
Accessories Needed for Exhibit Area

ElectricityInternet (at own expense)Other
Name of Representative Attending Summer Meeting *

First NameLast Name
Email*
example@example.com
Will you have more than one representative?

YesNo
Name of Second Representative Attending Summer Meeting

First NameLast Name
Email
example@example.com
Name of Third Representative Attending Summer Meeting

First NameLast Name
Email
example@example.com
Please Type Name of Signer

First NameLast Name
Title
Date

MonthDayYear
Date

Annual Meeting
Companies you prefer not to be located next to:
Name of Representative Attending Annual Meeting *

First NameLast Name
Email*
example@example.com
Accessories needed for exhibit area:

ElectricityInternetOther

Payment Information
Payment Method

CardCheck
Payment Method
Mail Check Payment:

WCDDA

1114 Kyle Wood Lane

Brandon, FL 33511
Prices:

Platinum - $5,600

Gold - $3,800

Silver - $2,200
Check Amount
Check Number
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

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

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please verify that you are human
Questions? Contact the WCDDA at lissette@wcdental.org / (813) 654-2500
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