Mental Health Awareness Summit
Community Champion Partnership Form
Community Champion Name
*
First Name
Last Name
Community Champion Business Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Phone Number
*
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Platinum Level
2 Partner Tables, Full Page Add, Logo display on registration page and marketing communications, social media promo, recognition honor, contact listing in summit program, recognition with media
$
5,000.00
Gold Level
2 Partner Tables, Full page Ad, logo display on registration and marketing communications, social media promo, recognition honor, contact listing, recognition with media
$
3,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Silver Level
1 partner table, half page ad, logo display on registration and marketing communications, recognition honor, contact listing, recognition with media
$
1,500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Bronze Level
1 partner table, quarter page ad, recognition honor, contact listing in program brochure
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
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