Home > Activities > Annual Symposium > Sponsorships 2011 Symposium Sponsorships To sponsor the 2011 NERHRT Symposium, please complete one of the forms listed below by September 26, 2011: Use Sponsorship Form 01 to pay offline by mail Use Sponsorship Form 02 to pay online with credit card Download the printable Sponsor Registration Form (PDF/148KB) For more information, please contact Marion Pawlek at 603-643-2800 or mjpawlek@joimail.com. Sponsorship Form 01 (Complete this form to pay offline by mail) * Required Sponsorships Contact Information Contact Name * Organization * Mailing Address * City * State * Zip * Phone * Fax Attending Participant #1 Full Name Mailing Address City State Zip Phone Email Attending Participant #2 Full Name Mailing Address City State Zip Phone Email Program Advertiser: (please select one) Full Page (7.5" L X 9.5" H): $500 Half Page (7.5" L X 4.0" H): $300 Quarter Page (3" L X 4" H): $175 Eighth Page (3.5" L X 2.0" H): $100 Business Card (3.0" L X 1.5" H): $75 Booth Exhibitor: 8 foot skirted exhibit booth with full conference registration for ONE person: $600 General Sponsorship Levels: Platinum Level Sponsor: $1,500 - $5,000 Amount: Banner display, verbal recognition during the Conference; print recognition in all marketing materials including the invitation, front cover of the program and on the RoundTable website; an exhibitor's booth and TWO complimentary full Conference registrations. Gold Level Sponsor: $750 - $1499 Amount: Print recognition in conference materials; exhibitor's booth; verbal recognition during the Conference; ONE complimentary full Conference registration. Silver Level Sponsor: up to $750 Amount: Verbal recognition during the Conference; print recognition in the program. Payment Information: Make checks payable to "New England Rural Health RoundTable" and mail to: New England Rural Health RoundTable Attn: Marion Pawlek 10 Benning St., Box 184 W. Lebanon, NH 03784 To pay offline (by mail) Sponsorship Form 02 (Complete this form to pay online with credit card) * Required Sponsorships Contact Information Contact Name * Organization * Mailing Address * City * State * Zip * Phone * Fax Attending Participant #1 Full Name Mailing Address City State Zip Phone Email Attending Participant #2 Full Name Mailing Address City State Zip Phone Email Program Advertiser: (please select one) Full Page (7.5" L X 9.5" H): $500 Half Page (7.5" L X 4.0" H): $300 Quarter Page (3" L X 4" H): $175 Eighth Page (3.5" L X 2.0" H): $100 Business Card (3.0" L X 1.5" H): $75 Booth Exhibitor: 8 foot skirted exhibit booth with full conference registration for ONE person: $600 General Sponsorship Levels: Platinum Level Sponsor: (please select one) $1,500 $2,000 $2,500 $3,000 $3,500 $4,000 $4,500 $5,000 Banner display, verbal recognition during the Conference; print recognition in all marketing materials including the invitation, front cover of the program and on the RoundTable website; an exhibitor's booth and TWO complimentary full Conference registrations. Gold Level Sponsor: (please select one) $750 $1,000 $1,499 Print recognition in conference materials; exhibitor's booth; verbal recognition during the Conference; ONE complimentary full Conference registration. Silver Level Sponsor: (please select one) $150 $250 $500 $749 Verbal recognition during the Conference; print recognition in the program. To pay online (credit card) to top Copyright © New England Rural Health RoundTable    Design by SeaCoast Web Design