2026 Summit Sponsorship Form
5th Annual New York Recovery Housing Conference
Thursday, September 17, 2026 1 Chrisfield Ave, Johnson City NY 13790
Event Sponsor's Name
(Business, Organization or Individual)
Name of Contact Person
First Name
Last Name
Title
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide a high-resolution company logo for inclusion in event materials.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional Comments or Requests:
Sponsorship Options
prev
next
( X )
Recovery Champion
$10,000.00
$
10,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Presenting Sponsor
$5,000.00
$
5,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Gold Sponsor
$2,500.00
$
2,500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Silver Sponsor
$1,250.00
$
1,250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Bronze Sponsor
$750.00
$
750.00
Quantity
1
2
3
4
5
6
7
8
9
10
Community Partner
$350.00
$
350.00
Quantity
1
2
3
4
5
6
7
8
9
10
Breakfast Sponsor
$1,000.00
$
1,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Lunch Sponsor
$1,500.00
$
1,500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Refreshment Break Sponsor
$500.00
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Name Badge Sponsor
$500.00
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Lanyard Sponsor
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Tote Bag Sponsor
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Scholarship Sponsor
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Payment Information:
Credit Card
Check (Make payable to New York State Alliance of Recovery Residences)
Authorized Signature:
Date Signed
-
Month
-
Day
Year
Date
Questions? Contact us!
Jerad Stevens 607-793-7165 info@nysarr.org Please mail checks to: NYSARR 100 South Clinton Avenue Rochester NY 14604
Submit
Submit
Should be Empty: