MHANYS 2024 Annual Awards Dinner Sponsorship Registration

2024 Sponsorship Registration

Sponsors, Exhibitors & Advertising

First Name *

Last Name *

Organization Name

Street Address *

City *

State *

Zip Code *

Email *

Phone *

I/the organization I represent is:
(please check all that apply)

Sponsoring The Event

Placing and Ad in the Event Program

Requesting an Exhibit Table at the Event

Sponsorship, Exhibitor & Advertising

Please check all that apply below.

Sponsorship, Exhibitor & Advertising Rates

$10,000 - Premier Sponsorship

$5,000 - Partner Sponsorship

$2,500 - Supporter Sponsorship

$1000 - Friend

$500 - Journal Ad: Half Page, Vertical Only, (4.5"H X 7.5"W)

$300 - Journal Ad: Quarter Page, Vertical B&W, (3 1/2"H X 3.5"W)

I would like to make an additional Tax Deductible donation.

Donation $

Total

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province

Postal Code