APHMG Sponsor Application Form
Main Contact
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Company / University
*
Enter the name as you would like it to appear in the program
Upload your logo
*
Browse Files
Drag and drop files here
Choose a file
Logo to be used in the program & website
Cancel
of
Website URL
*
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select your Sponsor Package
*
Bronze Sponsor ($500-nonprofit only)
Silver Sponsor ($750-no exhibit)
Gold Sponsor ($1500-table + 1 comp rep)
Platinum Sponsor ($2500-table + 2 comp reps)
Other (contact us)
Type of Tabletop Display
Unmanned (display materials only)
Manned (rep at table)
Name of Onsite Rep 1
First Name
Last Name
Name of Onsite Rep 2
First Name
Last Name
Additional Sponsorship Items (optional)
Session Sponsorship ($500)
Continental Breakfast ($1000)
Lunch ($1250)
Welcome Reception ($1500)
APHMG Dinner ($2500)
Welcome Amenity ($750)
Name Badge Lanyards ($1000)
Coffee Break AM ($500)
Coffee Break PM ($750)
Program Ad-Half Page ($500)
Program Ad-Full Page ($750)
Comments/Questions
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