Integrative Education Sponsor Agreement Form  
Thank you for your interest in being a Sponsor at the 2024 IE Symposium!  Please fill out this form and we will confirm your participation with the contact person listed.  If you have any questions, contact us at education@integrativeot.org.  Thank you!
Sign in to Google to save your progress. Learn more
Organization Name *
Organization Full Address (Include Street Address, City, State, Country) *
Organization Phone Number *
Organization Website *
Description of Organization  *
Contact Person *
Contact Person's Email *
Contact Person's Phone Number *
I plan to: (check all that apply) *
Required
Sponsors Only: Do you plan to be available at lunch to meet with attendees in a breakout room to share your company's offerings?
Clear selection
If yes, please list the organization's representative who will be speaking on the company's behalf.
If yes, please list the organization's representative's email address.
If yes, please select your preferred days/times - check all that apply.
If Donating to the Raffle:  List the item(s) you plan to donate and estimated value.
I agree to the following: *Email education@integrativeot.org a company logo, *Pay the associated fees once invoiced.  Payment guarantees participation at the event, *Follow the guidelines outlined for Sponsors/Exhibitors as stated on www.integrativeed.com *
Comments or Additional Information?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Integrative Therapy, LLC. Report Abuse
Google Forms