Sponsorship Registration Form
Thank you for committing to sponsor the Inaugural STAAR LGSOC Patient Conference on February 7th-8th, 2025, at the DoubleTree by Hilton Hotel Houston-Greenway Plaza at the level indicated below. *SPONSORSHIP INFORMATION and PAYMENT IS NEEDED BY January 3, 2025 in order for your name to appear in the program.
Sponsorship Level:
$30,000 Presenting Sponsor
$25,000 Gold Sponsor
$10,000 Silver Sponsor
$5,000 Bronze Sponsor
$1,500 Exhibitor
$500 Goody Bag
$5,000 Session Sponsor
$3,000 Meal Sponsor
$2,000 Supporter Sponsor
$1,500 Patient Sponsor
$4,000 Speaker Underwriter
$2,500 Marketing & Promotion Underwriter
$1,500 Technology Underwriter
Other
Please type in "other" amount
If you would like your sponsorship to go to an area other than what is listed, please let us know.
Company Name
Contact Name
First Name
Last Name
Job Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Email
example@example.com
Phone
Please enter a valid phone number.
Please upload your logo.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: