2025 Triage Health Conference Sponsor & Partner Opportunity

Thank you for your interest in participating in the 2025 Triage Health Conferences. Please complete the following form to secure your spot today! If you have any questions, please email Shelby at sw@triagecancer.org.

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* 1. Organization Name

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* 2. Who will be your organization's primary point of contact:

First Name

Last Name

Title

Email Address

Phone Number

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* 3. Please upload your organization's latest logo. (JPEG and PNG preferred)

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

Choose File

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* 4. Have you read through the Triage Health Conference Sponsorship Opportunities packet?

Yes

If not, please download and read this Conference Opportunities Packet

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* 5. Please choose which Conferences you would like to participate in:

Both Conferences

Triage Health: May 17, 2025

Triage Cancer: October 18, 2025

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* 6. At which level would you like to participate in the 2025 Triage Health Conferences?

Presenting Sponsor (2 Events) $15,000

Benefactor Sponsor (2 Events) $10,000

Supporting Sponsor (2 Events) $3,500

Community Partner (2 Events) $250

Presenting Sponsor (1 Event) $9,000

Benefactor Sponsor (1 Event) $6,000

Supporting Sponsor (1 Event) $2,000

Community Partner (1 Event) $150

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* 7. I will be submitting my payment by

Credit card online (Please open this link in a separate tab to submit payment after completing the survey)

Credit card by phone (please call 424.258.4628)

Mailing a check (made payable to "Triage Cancer 6348 N Milwaukee Ave. #136 Chicago, IL 60646")

Other (please specify)

None of the above

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* 8. How do you plan to promote the Conferences to your community?

Social Media

Newsletters

Event Calendars

Other (please specify)

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* 9. Please let us know if there is any other information you would like to share.

Thank you! We will be in touch with next steps.