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NHOCSponsorForm .pdf


Original filename: NHOCSponsorForm.pdf
Title: Microsoft Word - Document1

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Yes, our business/organization wants to sponsor National Health
Outreach!
Company Name

Contact name

Title
Address
City

State

Zip Code

Phone

Fax

Email

Platinum - $10,000
Gold - $5,000
Silver - $2,500
Bronze - $1,000
Copper - $500

Opening Reception - $15,000
Conference Meal - $10,000
Conference Bag - $8,000
Beverage Break - $3,000

Website
Tour - $1,500
Exhibit Space Sales $500
Exhibit Space
Promotional - $200
Promotional Item in
Packet - $100

Method of Payment
Check enclosed, made payable to University of Georgia $_____________
Charge $_____________to my credit card:
Visa Master Card

Send application to, and discuss payment options with:
Brocton Funke, Office of the Dean
College of Family and Consumer Sciences
The University of Georgia
224 Dawson Hall, Athens, GA 30602
(706) 542-4860
broc@uga.edu


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