MAHQ Sponsorship Form

MAHQ Sponsorship Form

Sponsor the Maryland Association for Healthcare Quality (MAHQ). Complete the form below to select your sponsorship level and submit payment securely.
Sponsor Information

Please provide your organization and contact details.
Organization Name*
Primary Contact Name*

First NameLast Name
Title
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Website URL*
Upload Company Logo (for marketing use)*

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Platinum Sponsorship (Electronic Payment)
$1,000 – Recognition during conference event; 2 conference registrations; Logo placement on conference advertising and materials including MAHQ LinkedIn and Website; Exhibit vendor table and recognition as conference exhibitor; 3-minute marketing presentation.

$1,000.00



Platinum Sponsorship (Check by Mail)
Please mail payment of $1000 to: Attn: MAHQ 2315 Northcliff Dr Jarrettsville, MD 21084

$ Free



Gold Sponsorship (Electronic Payment)
$750 – Recognition during conference event; 1 conference registration; Logo placement on conference advertising and materials including MAHQ LinkedIn and Website; Exhibit vendor table and recognition as conference exhibitor.

$750.00



Gold Sponsorship (Check by Mail)
Please mail payment of $750 to: Attn: MAHQ 2315 Northcliff Dr Jarrettsville, MD 21084

$ Free



Silver Sponsorship (Electronic Payment)
$250 – Exhibit vendor table and recognition as conference exhibitor.

$250.00



Silver Sponsorship (Check by Mail)
Please mail payment of $250 to: Attn: MAHQ 2315 Northcliff Dr Jarrettsville, MD 21084

$ Free



MAHQ Connect Session Sponsorship (Electronic Payment)
$250 per session – Sponsorship acknowledgement and marketing including MAHQ LinkedIn and Website.

$250.00 Quantity



MAHQ Connect Session Sponsorship (Check by Mail)
Please mail payment of $250 to: Attn: MAHQ 2315 Northcliff Dr Jarrettsville, MD 21084

$ Free Quantity



Total

$0.00
Names of conference attendees (if applicable based on sponsorship level)
Special requests or notes
Electronic Signature (required)*
Date*

MonthDayYear
Date
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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MAHQ Sponsorship Form

Sponsor Information