Symposium Corporate Sponsorship Form
Submit your sponsoring information for our upcoming conference. Please provide your details and preferred sponsorship options.
Organization Name
*
Contact Person Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Company Website
Sponsorship Type
*
Please Select
Presenting Sponsor ($10,000)
Health Equity Champion ($5,000)
Access builder Sponsor ($3,500)
Community Impact Sponsor ($2,500)
Mental Wellness Advocate ($1,000)
Supporting Partner ($500)
Resource table Partner ($250)
Friend of the Symposium ($100)
Community Conversation Sponsor ($3,500)
Youth Art Showcase Sponsor ($3,500)
Health Fair Sponsor ($2,000)
Student Access Sponsor ($1500)
Please send invoice to the following email:
example@example.com
Sponsor Logo:
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Presenting Sponsor
$10,000.00
$
10,000.00
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Health Equity Champion
$5,000.00
$
5,000.00
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Access Builder Sponsor
$3,500.00
$
3,500.00
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Community Impact Sponsor
$2,500.00
$
2,500.00
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Mental Wellness Advocate
$1,000.00
$
1,000.00
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Supporting Partner
$500.00
$
500.00
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Resource Table Partner
$250.00
$
250.00
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Community Conversation Sponsor
$3,500.00
$
3,500.00
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Youth Art Showcase Sponsor
$3,500.00
$
3,500.00
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Requesting Payment Invoice
Free
$
Free
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Health Fair Sponsor
$2,000.00
$
2,000.00
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Student Access Sponsor
$1,500.00
$
1,500.00
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Friend of the Symposium
$100.00
$
100.00
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Credit Card
Should be Empty: