BMHC Sponsorship Form

COMING TO RALEIGH, NC | FEBRUARY 2024

Event Sponsor's Name*

(Business, Organization or Individual)

Name of Contact Person*

Title*

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

Area CodePhone Number

Event Sponsor's Level of giving:*

$7,500 - Solidarity Sponsor: ("I stand in solidarity with Black Mental Health awareness.")$5,000 - Activist Sponsor: ("I actively support, protect, and invest in Black Mental Health.")$3,500 - Advocate Sponsor: ("I support and protect Black Mental Health.")$2,500 - Ally Sponsor: ("I support Black Mental Health.")

Payment Method:*

Money Order or Check (Make Payable to Beauty Marks counseling and consultation LLC)Pay by Debit/Credit Card via Invoice

Authorizing person's signature*

Your Company's Logo: Please upload the logo that you would like displayed when marketing for the BMH Conference.*

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FOR DEBIT/CREDIT CARD PAYMENTS, PLEASE ALLOW UP TO THREE (3) BUSINESS DAYS TO RECEIVE AN OFFICIAL INVOICE AT THE EMAIL ADDRESS PROVIDED ABOVE.

FOR ALL MONEY ORDERS & CHECKS, PLEASE MAIL TO:
412 Spruce Pine Trail - Knightdale, NC 27545