2026 Application for Sponsorship
Please complete the application to sponsor Colorado Retina Associates' 2026 Mile High Masters of Retina meeting to be held on Sunday, February 22, 2026 in Lakewood, CO. Thank you for your support!
Sponsoring Company Information
Organization Name
*
Primary/Planning Contact Name
*
First Name
Last Name
Primary/Planning Contact Email
*
example@example.com
Primary/Planning Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Billing Contact (if different than planning contact)
First Name
Last Name
Billing Contact Email (if different than planning contact)
example@example.com
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
*
Description of Company and Services
*
Is your company a 501(c)(3) Non-Profit?
Please Select
Yes
No
Not-for-profit organizations receive a 10% discount. Proof of tax exemption is required.
Exhibitor Information
Request to not place booth next to specific competitors or other exhibitors:
Booth Rep 1-Name (if known)
First Name
Last Name
Booth Rep 1- Title
Booth Rep 1- Email
example@example.com
Booth Rep 2- Name (if known)
First Name
Last Name
Booth Rep 2 Title
Booth Rep 2- Email
example@example.com
Deliverables
Upload 1-2 High-Resolution Versions of your Logo
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png preferred
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Sponsorship Levels and Payment
Select your sponsorship level below. You can pay by credit card below (2.9% processing fee) OR ACH or check. Payment is due within 30 days of application submittal.
Sponsorships- select at least one.
*
Diamond- $5,000 (premium exhibitor)
Platinum- $3,500 (premium exhibitor)
Gold- $2,500 (standard exhibitor)
Name Badge Sponsor (add-on or solo)- $550
Digital Ad (add-on or solo)- $500
Coffee Bar Sponsor (add-on or solo)- $550
Food Station Sponsor (add-on or solo)- $550
Tote Bag Sponsor (add-on or solo)- $550
Logo-Only (solo-only, cannot be combined)- $250
Additional Exhibitor Expenses (select any that apply)
Power for Booth - $20
Pallet Handling Fee- $150 (required if shipping large equipment on a pallet to the hotel)
How would you like to pay?
*
Pay Now- Credit Card
Invoice Later- Check
Total Amount Due
Payment Amount
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USD
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Declaration
By submitting this application, I confirm that the information provided is accurate, I have read and agree to the Exhibitor Rules and Regulations, and I agree to pay my invoice within 30 days of application submittal.
Name
*
First Name
Last Name
Signature
*
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