Sponsorships

Conference Sponsor $5,000
Diamond Sponsor - Preconference $2,500
Diamond Sponsor - Annual Meeting Luncheon $2,500
Speaker Sponsor $2,500
Gold Sponsor - Conference Tote Bags $2,000
Gold Sponsor - Friday Networking Breakfast $2,000
Silver Sponsor - Thursday Breakfast $1,000
Silver Sponsor - Conference Breaks $1,000

Please note some sponsorship opportunities have limited availability and will be deactivated when
limit level is reached. Questions: sponsors@fahq.org.

Exhibitors

Exhibitor $500.00
Additional Exhibitor conference registration $200.00 Enter number of additional registrations @ $200 each (you will be asked to provide names of additional attendees in the Sponsor Attendance” section below.)

* Payment System

Credit / Debit Card Payments Accepts all major credit cards Offline Payment Invoice Pay by sending check or money order

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* First Name

* Last Name

* Your E-Mail Address

a confirmation email will be sent to you at this address

Credentials

Example: MD, RN, CPHQ, FACHE

Current Title

Leave blank if not employed

Current Organization Name

Enter Retired or Not Employed if applicable

Company Address

Company City

Company State

Company Zip

Company Phone

Cell Phone

Sponsor Conference Primary Attendee

Sponsor Conference Addl Attendees

Sponsorship Form

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