Supporter and Promotional Material Application for 2021 Virtual Conference

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Please fill out this form in order to apply to be a conference sponsor or for promotional material distribution for the 2021 Virtual Conference.

Print a copy of your form to include with your check (payable to Regina Villa Associates) and send to:
Michelle Cook
12 Herons Bill Drive
Bluffton, SC 29909

Please include your contact name in the memo field on the check. Commitments will be confirmed in writing.

Email *

Contact Name *

Please include first and last name in this field.

Contact phone number *

Organization *

Street address *

City *

State *

Zip Code *

Please accept my commitment to sponsor the following (select one): *

Commitments must be received with payment by April 9, 2021 and will be confirmed in writing. You will receive instructions for registering the individual(s) for whom the registration fee is waived in your confirmation letter (as applicable). Fees associated with Continuing Education Credit cannot be waived. It will not be assumed that the contact person listed above is your beneficiary. Print a copy of your form to include with your check (payable to Regina Villa Associates) and send to: Michelle Cook, 12 Herons Bill Drive Bluffton, SC 29909. Please include your contact name in the memo field on the check.

Platinum Level: $7,500 - includes promotional material and registrations for 9 people

Gold Level: $5,000 - includes promotional material and registrations for 7 people

Silver Level: $2,500 - includes promotional material and registrations for 5 people

Bronze Level: $1,000 - includes promotional material and registrations for 3 people

Supporter Level: $500 - includes promotional material and registration for 1 person

Promotional Material Only: $75

Additional comments or questions?

You can also share any comments or questions via email to MEICconference@gmail.com.

A copy of your responses will be emailed to the address you provided.

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