Sponsorship Form - 2023 Indiana Public Health Celebration & Awards

Please complete this form to sponsor the 2023 Indiana Public Health Celebration & Awards. An IPHA staff member will be in touch to coordinate payment and other details. The deadline for including your organization logo/name in print materials is November 3.

Learn more about sponsorship packages and benefits HERE.

Contact info@inpha.org with questions.

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* 1. Contact First Name

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* 2. Contact Last Name

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* 3. Organization

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* 4. Title

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* 5. Email Address

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* 6. Phone Number

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* 7. Mailing Address

Street Address 1

Street Address 2

City

State

Zip Code

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* 8. Sponsorship Level

Learn more about sponsorship packages and benefits HERE.

Gold Level (5,000)

Silver Level ($2,500)

Bronze Level ($1,500)

Table Sponsorship ($1,200 before October 20; then $1,500 until November 10)

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* 9. What is your preferred method of payment?

If your preferred method of payment is credit card, you may pay HERE.
Table Sponsorships may be purchased via Eventbrite HERE.

Credit Card

Check

Sponsorship Form - 2023 Indiana Public Health Celebration & Awards

Question Title

* 1. Contact First Name

Question Title

* 2. Contact Last Name

Question Title

* 3. Organization

Question Title

* 4. Title

Question Title

* 5. Email Address

Question Title

* 6. Phone Number

Question Title

* 7. Mailing Address

Question Title

* 8. Sponsorship LevelLearn more about sponsorship packages and benefits HERE.

Question Title

* 9. What is your preferred method of payment? If your preferred method of payment is credit card, you may pay HERE.Table Sponsorships may be purchased via Eventbrite HERE.

Question Title

* 10. Is there any other information you want us to know about your sponsorship?

* 8. Sponsorship Level

Learn more about sponsorship packages and benefits HERE.

* 9. What is your preferred method of payment?

If your preferred method of payment is credit card, you may pay HERE.
Table Sponsorships may be purchased via Eventbrite HERE.