Sponsor Registration Form - 2023 Conference on Mental Health Events

Friday, October 27, 2023
2023 UVU Conference: 9:00 - 5:00 PM
Evening of Excellence Awards Dinner: 5:30 - 7:00 PM
Mental Health Provider Tribute Concert: 7:30 - 9:00 PM

Please refer to Sponsorship Flyer for Sponsorship Details

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* 1. Please Select Sponsorship Level

Action Sponsor - $10,000

Awareness Sponsor - $5,000

Action Partner - $2,500

Awareness Partner - $2,500

Action Patron - $1,750

Awareness Patron - $1,500

Honored Guest - $150

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* 2. Information

Contact Name *

Organization Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 3. This Organization is a:

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* 4. Confirmation:

As authorized signatory for the above-named organization, I commit to the level of, and payment for, the partnership checked above. I understand that I will be contacted by Extraordinary Options to collect payment.

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* 5. Type Signature

Please contact care@extraordinaryoptions.org to report any food allergies or any other questions.