EMS360 EMS Agency Sponsorship Registration Form
In response to feedback, we have created an EMS Agency Sponsorship Package specifically for EMS agencies. Our goal is to provide an affordable way for agencies to be recognized, highlight the great work they are doing, and increase their visibility among conference attendees without the financial commitment of traditional sponsorship levels. Thank you for your continued support, and as always, we welcome any feedback or suggestions.
Sponsorship packages and price details below.
Agency Name
*
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Agency Logo/Patch
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please choose the package(s) you'd like to purchase. We will send an invoice once you submit the form.
*
$50
$100
$200
$1,000 - Lunch (add-on)
$500 - Breakfast (add-on)
$750 - Name Tags (add-on)
$750 - Mugs (add-on)
Submit
Should be Empty: