Event Sponsorship Form

EVENT SPONSORSHIP FORM
Event Sponsor's Name*
(Business, Organization or Individual)
Name of Contact Person*
Title/Role
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Organization Info
Please provide a short 2–3 sentence description of your business or organization that we can include in event marketing materials and sponsor spotlights.*
Upload Logo Here

Preferably a PNG file, if not a JPEG will work
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Event Selection
Which city/event are you sponsoring?*
SPONSORSHIP LEVEL
Presenting/Healing Partner – $5,000Access Partner- $2,500Wellness Partner- $1,000Community Partner- $500Advocate Partner- $250Supporter- $100
Check (Mail)Credit card or PayPal (Can be paid at the bottom)Please Send Sponsor An Invoice via Email
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YesNoNot sure at this timeOther
Please provide the names and emails of any of your additional guests, that are included in your sponsorship: *
Select N/A if you are not bringing any additional guests
If you are a Plantium or Gold Sponsor, what is your t-shirt size?
Authorizing person's signature*
PLEASE SUBMIT AN ONLINE PAYMENT, REQUEST AN INVOICE OR MAIL PAYMENT TO: P.O. BOX 228, Clayton, Ohio 45315
Sponsorships

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USDSponsorship Amount
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Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Organization Info