ACHE-WI Sponsorship Enrollment Form

Contact Information
Company*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Website*
Primary Contact Name*

First NameLast Name
Title*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Secondary Contact is for the purpose of ensuring that you receive all your sponsorship benefits and should be a marketing person from your organization.
Secondary Contact Name*

First NameLast Name
Title*
Email*
example@example.com
Phone Number*

Area CodePhone Number

Chapter Web-Page Directory
The Board of Directors recognizes and greatly appreciates the value, expertise and support of our sponsor/business associate members.

Please complete the information requested as it will appear on the web-page and all chapter printed and electronic material.
Company Logo*

Browse Files

Cancelof
URL Link to Company Logo*
Please provide a summary description of the services/product offerings of your organization in fifty words or less as it will appear on the Webpage and any applicable printed material. *

0/50

Quarterly Advertisement
Your logo/ad will appear on the homepage of www.wisconsin.ache.org, and will also be included in the monthly e-newsletters sent to the ACHE-WI membership. Ads will be hyperlinked to a URL of your choice.

Timeline for submission:
- 1st Quarter Ads, January-March: deadline for submission is December 15
- 2nd Quarter Ads, April-June: deadline for submission is March 15
- 3rd Quarter Ads, July-September: deadline for submission is June 15
- 4th Quarter Ads, October-December: deadline for submission is September 15
Additional Information:
- Three advertising spots are available per quarter that will be filled on a first come, first served basis
- Ad size/specs must be within specifications: 166 x 180 pixels submitted as a jpeg file
- URL link must be submitted with ad, and cannot change during the ad cycle
Please choose which quarter you would like to submit an advertisement for*

First QuarterSecond QuarterThird QuarterFourth Quarter
Should be Empty:

Corporate Sponsorship Enrollment Form