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Home > Activities > Annual Symposium > Sponsorships
2012 Symposium Sponsorships
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To sponsor the 2012 NERHRT Symposium, please complete one of the forms listed below by September 26, 2012:

For more information, please contact Marion Pawlek at 603-643-2800 or .
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)
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10 Benning Street, Box 184, West Lebanon, NH 03784, 603-643-2800
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