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2021 Triage Cancer Conference Opportunities
Thank you for your interest in participating in the 2021 Triage Cancer Conferences. Please complete the following form to secure your spot today! If you have any questions, email
info@triagecancer.org
.
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Organization/Company
*
Your answer
First Name
Your answer
Last Name
Your answer
Title
Your answer
Email Address
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Phone Number
Your answer
Sponsorship Level
*
Presenting Sponsor (2 Events) $10,000
Presenting Sponsor (Virtual) $5,000
Presenting Sponsor (Virtual hybrid event - Chicago tentative) $5,000
Benefactor (2 Events) $5,000
Supporting Sponsor (2 Events) $2,500
Supporting Sponsor (Virtual) $1,500
Supporting Sponsor (Virtual hybrid event - Chicago tentative) $1,500
Community Partner (2 Events) $200
Community Partner (Virtual) $150
Community Partner (Virtual hybrid event - Chicago tentative) $100
Other:
Required
I will be submitting my payment via
*
Mailing a check (made payable to "Triage Cancer")
Credit Card online (At the conclusion of the survey you can submit a payment here:
https://www.kindest.com/donate/triage-cancer
)
Credit Card by phone (Please call 424.258.4628)
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