2026 Retreat Sponsorship Commitment Form - Wellness Counseling Inc.

2026 Retreat Sponsorship Commitment Form

Wellness Counseling Inc.
Thank you for your interest in sponsoring Wellness Counseling Inc. 2026 Retreats. This form is for organizations ready to move forward with a year-long sponsorship. Submission of this form secures your sponsorship tier pending payment confirmation.

Next Steps: Once submitted, I will contact you within the next business day to confirm details, timeline, and next steps.
Company / Brand NameName
Primary Contact Name
Title / Role
Email Address
Phone Number
Website URL
Select Your 2026 Sponsorship Tier

Platinum Partner – $6,000 (Year-long sponsorship)Gold Partner – $4,000 (Year-long sponsorship)Silver Partner – $2,000 (Year-long sponsorship)
Would you like to request category exclusivity (if available)?

Yes - We will contact you to discussNo
Brief description of your company, product, or service
Primary audience you serve
Primary goal for this sponsorship

Brand awarenessDirect exposure to cliniciansLead generationProduct educationLong-term partnershipOther
How would you like your brand to be included? (Select all that apply)

Logo placement on website and retreat materialsEmail sponsor mentionsSocial media recognitionBranded materials or insertsSamples or promotional itemsExclusive sponsor offer or discountOn-site presence (where applicable)
Do you plan to offer a discount or special promotion to attendees?

YesNoNot At This Time
If yes, please provide details
Are there specific retreat locations you’d like to prioritize?

Bali - February 2026Costa Rica - April 2026Panama - May 2026Italy - May 2026Paris - June 2026Morocco - September 2026Sedona, AZ - October 2026Iceland - November 2026Open to all available retreats
Upload Your Logo (PNG Preferred)

Cancelof
Upload Brand Guidelines (optional)

Cancelof

Sponsorship Payment -Your sponsorship is confirmed once payment is received.

Platinum Partner – $6,000

$6,000.00 Quantity

Gold Partner – $4,000

$4,000.00 Quantity

Silver Partner – $2,000

$2,000.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

After you submit this form, I will reach out within the next business day to confirm your selected sponsorship tier, review activation details (logo, mentions, materials, offers), and finalize any logistics. If you selected “Request invoice” or “Request payment plan,” I will send those details in my follow-up.
Sponsorship Agreement Acknowledgment - I understand that this sponsorship is for the 2026 retreat year. I agree to move forward with the selected sponsorship tier selected.

Yes
Signature
Date

MonthDayYear
Date
Should be Empty: