2025 HEC Annual Conference Sponsorship Form

SPONSORSHIP FORM

2025 HEC Annual Conference | March 24 - 25, 2025 | Emory Conference Center
Name of Organization*
Organization's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Contact*
Email*
example@example.com
Telephone*
Sponsorship Level (check one):*

Diamond $10,000Platinum $5,000Gold $3,000Silver $1,000Bronze $750
Signature*

Clear
Date*

MonthDayYear
Once you have submitted this form, you will receive an invoice for your sponsorship.

You can choose to pay online HERE

or mail your check (made payable to the HEC) to:

Emory Center for Ethics
ATTN: Healthcare Ethics Consortium
1531 Dickey Drive
Atlanta, Georgia 30322

To be listed in the program as a sponsor of the 2025 HEC Annual Conference we request your response by February 25, 2025. Once we receive your form, we will provide more detailed information about your specific benefits and sponsorship recognition.

For more information about sponsorship, please contact Natasha Lebowitz, Development Director, 470-543-6245 or e-mail natasha.lebowitz@emory.edu.
The FMV of each registration is $75. The purchase price in excess of the FMV shall be treated as a charitable contribution. If you prefer to not receive any tickets, and thus have the full value of the registration treated as a charitable contribution, please check the box below.

I do not wish to receive any benefits in exchange for my contribution.
HEC is a program of the Emory University Center for Ethics Tax Status: Emory University is a tax-exempt organization; ID Number 58-0566256.
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SPONSORSHIP FORM