MIH Week Sponsorship

Choose your Support Level

Select Your MIH Week Support Level

MIH Week Featured Industry Leadership - $5,000.00
MIH Week Webinar - $3,500.00
MIH Week Partner - $3,000.00
Sponsor a Themed Day - $2,500.00
MIH Week Supporter - $500.00

Sponsoring Organization/Company Name

Fill out the field above exactly as you want your organization or company listed. For anonymous donations, write N/A.

Sponsoring Organization: 1st Representative

Name

For anonymous donations, write "Anonymous"

Title

Phone

Sponsoring Organization: 2nd Representative

Name

Title

Phone

NAMIHP Communications

In addition to the representatives above, who from your organization should be included in planning communication regarding MIH Week?

Individual Phone Amount

Name

First

Last

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

How did you find out about MIH Week?

Company Service or Product Focus

Sponsoring Organization/Company Website / URL

For anonymous donations, write "Anonymous"

Organization Logo to be featured for MIH Week

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Acknowledgement

I acknowledge that upon submitting this form, my orders are final and can no longer be cancelled. Partner and/or Sponsorship commitments or donations are not refundable.

Total Amount

Item Quantity Qty Total

There are no products selected.

Select Your MIH Week Support Level - MIH Week Featured Industry Leadership 1 $5,000.00

Select Your MIH Week Support Level - MIH Week Webinar 1 $3,500.00

Select Your MIH Week Support Level - MIH Week Partner 1 $3,000.00

Select Your MIH Week Support Level - Sponsor a Themed Day 1 $2,500.00

Select Your MIH Week Support Level - MIH Week Supporter 1 $500.00

Total $0.00

Payment Method

Pay by Invoice
Pay by Credit Card

To pay by check, make it payable to:

National Association of Mobile Integrated Healthcare Providers
8735 Dunwoody Place, Suite 8220, Atlanta, GA 30350

To request an invoice or ACH details contact us at office@namihp.org

MIH Week Sponsorship

Choose your Support Level

Sponsoring Organization: 1st Representative

Sponsoring Organization: 2nd Representative

NAMIHP Communications

Pay by Invoice

NAMIHP Contact Information

Address

Email

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