NHOCSponsorForm (PDF)
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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
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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Document ID: 0000187207.