2024 Sponsor Survey

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* 1. Company Name (as to appear in program)

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* 2. Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 3. Key Contact

Name

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* 4. Title

Name

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* 5. Contact Number

Phone Number

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* 6. Email

Email Address

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* 7. Electricity Needed? There will be a $25 electricity fee unless you are registering as a Diamond, Platinum, or Gold Sponsor.

Yes

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* 8. Sponsorship Level

Diamond ($20,000)

Platinum ($10,000)

Gold ($5,000)

Silver ($2,500)

FULL: Click here to be added to the Bronze waitlist: Bronze ($1,000)

FULL: Click here to be added to the Exhibitor waitlist: Exhibitor ($500) (This is only for non-profits and state agencies who do not wish to participate at a higher level.) (Limit 10)

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* 9. Attendee Names (These can be sent at a later date)

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* 10. Logo

Please upload your logo here.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Thank you so much for your interest in being a sponsor at RHA's 30th Annual conference. Someone will be in contact with you shortly about this information as well as an invoice. If you have any questions, please reach out to info@tnruralhealth.org. Ads are due by August 31st.