Sponsorship Enrollment

Sponsorship Enrollment
Name

First NameLast Name
Organization
Job Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
T-Shirt Size
Additional Representative Name

First NameLast Name
Additional Representative T-Shirt Size
Corporate Sponsorship: $200.00
- one reserved resource table
- organization logo on event shirt
- digital advertisement during event

Lunch Sponsorship: $500.00
- one reserved resource table
- organization logo on event shirt
- organization name on digital signage
- mentioned as “lunch sponsor” throughout event
- lunch sponsor 5 minute presentation
Payment Method
Select Sponsorship Level
Please make checks payable to Stepworks Recovery Centers, LLC.
Memo Line: "Stepworks London Behavioral Health Summit"

Mail to: PO Box 6209 Elizabethtown KY 42702

Corporate Sponsorship

$200.00

Lunch Sponsorship

$500.00

Enter coupon

Upload Sponsor Logo

SVG (vector) preferred. Minimum width of 1000 pixels for PNGs.
Cancelof
Please verify that you are human
Should be Empty: