Clone of SPONSOR - 2025 SYMPOSIUM REGISTRATION FORM

2026 BRAIN INJURY SYMPOSIUM SPONSOR REGISTRATION FORM
Thank You for Your Decision to be a Sponsor/Exhibitor for our Symposium!

The 25th Annual Brain Injury Symposium hosted by Alamo Head Injury Association will be held April 15th, 2026 at the Pestana Lecture Hall located at UTHSC San Antonio, TX.
SPONSORSHIP REGISTRATION TO-DOS

1. Complete the sponsorship registration form below.

2. Choose your sponsorship level.
- Platinum -
  4 Registrations
  Logo & Program Recognition
  Exhibit Table plus Platinum Location
- Gold -
  3 Registrations
  Logo & Program Recognition
  Exhibit Table
- Silver -
  2 Registration
  Logo & Program Recognition
  Exhibit Table
Limited Spaces are Available.

Event Contact: Executive Programs Coordinator, Jenna Norris

Email: AHIA@AlamoHeadInjury.org
Sponsor Information

All required fields will have a red asterisk
Company Name *

Company NameHow would you like your company name to appear in recognition? Use this box if different from previous.
Point of Contact*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
3. Please choose your Sponsorship/Exhibitor Level.
4. If you would like to add-on a Breakfast, Lunch, or Snack sponsorship, please choose below. *If an add-on is chosen, your logo will be featured on our website, flier, and in a frame on each table where our attendees will sit.*
5. Please provide the full name and email address for each representative who will attend the Symposium and select the applicable CEU credit for each attendee (if applicable). * Up to 2 for Silver, 3 for Gold, and 4 for Platinum*
CEU Credit Needed (if applicable)
CEU Credit Needed (if applicable)
CEU Credit Needed (if applicable)
CEU Credit Needed (if applicable)
Do you have any special requirements or requests? *Food allergies, etc?
Thank you for your registration!

Once completed, a member of our Symposium board will reach out to you. We are so excited for this year’s Symposium. We look forward to hosting you!
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2026 BRAIN INJURY SYMPOSIUM SPONSOR REGISTRATION FORM

Thank You for Your Decision to be a Sponsor/Exhibitor for our Symposium!

Sponsor Information

Thank you for your registration!