AzNHA 2024 Conference - Sponsor/Exhibitor Registration

Thank you for your interest in partnering with us on our program!

This is the online registration form to sponsor/exhibit at our program. Before beginning, please assemble the following items:

Download/Review the package information listing.
Name/Phone/Email for Primary Contact and Exhibitors.
Company Description (100 words max)
Company Logo (artwork file - JPG, PNG or EPS)

If you have questions about the packages please email aznhaconference@gmail.com. If you need assistance with using this form or confirming receipt or general questions about the conference, please contact Marie or Kate in the AzNHA Office info@aznha.org. For urgent matters, please call/text Marie's mobile (602) 692-5315.

Question Title

Company/Organization Name
(Enter exactly as it is to appear in program, on signage, etc.)

Question Title

Service Category
Please indicate the types of products/services your company provides.

Accountant/Tax

Adult Day Care

Attorney

Case Management

Directories

DME/Medical Supplies

Employee (Recruitment, Placement)

Funeral Home/Body Donation

Home Health

Hospice-Palliative Care

Home Services (Moving, Improvements)

HR/Payroll/Benefits

Insurance/Workers Comp

Loans/Banking

Managed Care

Mobile Services (Describe in Other)

Placement Agencies

Technology/Software/Apps

Telephone/Mobile

Worker/Personal Safety/Security

Other (please specify)

Question Title

Contact Person Name
This is the person AzNHA will communicate with regarding the package/exhibit.

Question Title

Contact Person Email
This is the email where we will send an invoice for the package.

Question Title

Contact Person Phone number

Question Title

Are you an AzNHA Member?

Yes! I am a Member.

No but I would like to be, please add a 1-year Membership ($400) to my Invoice and send me the application.

Not at this time.

Question Title

Are you interested in sponsoring an In-kind Gift?

Yes! I would like to sponsor the Swag Bags.

Yes! I would like to sponsor the Pens.

Yes! I would like to sponsor something else - I'll contact the Chair to discuss.

No not at this time.

Other (please specify)

Question Title

Please select one of the following:

I would like to purchase a Sponsor Package.

I would like to only Exhibit.

AzNHA 2024 Conference - Sponsor/Exhibitor Registration

Thank you for your interest in partnering with us on our program!

Question Title

Company/Organization Name(Enter exactly as it is to appear in program, on signage, etc.)

Question Title

Service CategoryPlease indicate the types of products/services your company provides.

Question Title

Contact Person NameThis is the person AzNHA will communicate with regarding the package/exhibit.

Question Title

Contact Person EmailThis is the email where we will send an invoice for the package.

Question Title

Contact Person Phone number

Question Title

Are you an AzNHA Member?

Question Title

Are you interested in sponsoring an In-kind Gift?

Question Title

Please select one of the following:

Company/Organization Name
(Enter exactly as it is to appear in program, on signage, etc.)

Service Category
Please indicate the types of products/services your company provides.

Contact Person Name
This is the person AzNHA will communicate with regarding the package/exhibit.

Contact Person Email
This is the email where we will send an invoice for the package.