APHMG 2022 Sponsor Application Form
Main Contact
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Company / University
*
Enter the name as you would like it to appear in the program
Upload your logo
*
Browse Files
Drag and drop files here
Choose a file
Logo to be used in the program & website
Cancel
of
Website URL
*
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select your Sponsor Package
*
Silver Sponsor ($500-no exhibit table)
Gold Sponsor ($750-standard tabletop)
Platinum Sponsor ($1500-premium tabletop)
Other (contact us)
Type of Tabletop Display
Unmanned (display materials only)
Manned (rep at table)
Name of Onsite Rep 1
First Name
Last Name
Name of Onsite Rep 2
First Name
Last Name
Sponsorship add-ons (optional)
Session Sponsorship ($500)
Welcome Reception - Wednesday ($1500)
APHMG Dinner - Thursday ($1500)
Covid Policies
*
Comments/Questions
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