Vendor/Sponsorship Form

Vendor/Sponsorship Form

FOR DOCUMENTARY SCREENING AND PANEL DISCUSSION
Thank you for participating in this great event and helping us expand the mission of the Alzheimer's Services Center (ASC) "to enhance and prolong the highest quality of life possible for persons with Alzheimer's Disease and other related Dementias and for their families." We have provided an opportunity for your organiztion to partner with the ASC, a 501c3 non-profit organzation, for the screening of the award-winning documentary:

Remember Me: Dementia in the African American Community

Here are some ways that you can become a partner:
- Title Event Sponsor - $2000
  Includes your logo on all marketing material as Title Event Sponsor, your logo on our event webpage, your logo on Step & Repeat Banner, vendor table at the screening, and the opportunity to speak at the event.
- Step and Repeat Sponsor - $300
  Incudes your logo on the Step and Repeat Banner and a vendor table
- Event Vendor - $150
  Includes a vendor table at the event
Event Sponsor/Vendor Name
(Business, Organization or Individual)
Name of Contact Person

First NameLast Name
Title
E-mail
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payment Information:

Check (Make payable to Alzheimer's Services Center)Credit Card
Level of Participation

Event Sponsor - $2000Step and Repeat Sponsor - $300Event Vendor - $150

Level of Participation

Event Sponsor

$2,000.00

Step and Repeat Sponsor

$300.00

Vendor

$150.00

Total

$0.00

Please provide a high-resolution company logo for inclusion in event marketing materials.

Cancelof
Please mail payment to:

Alzheimer's Services Center
7251 Mt. Zion Circle
Morrow, GA 30260
Additional Comments or Requests:
Sponsor/Vendor Agreement:

By submitting this form, the sponsor/vendor agrees to the terms outlined in the sponsorship levels and commits to providing the selected sponsorship amount by Thursday, September 12, 2024. The organizer reserves the right to allocate benefits based on the sponsorship level and payment received.
Authorized Signature:

Clear
Date Signed

MonthDayYear
Date
Should be Empty: