MALA Annual Conference and Dementia Summit Sponsorship Sponsor Application FormThe Michigan Assisted Living Association (MALA) is the state's leader in Assisted Living and Behavioral Health Services. We're grateful for your partnership in advancing quality care across Michigan. Please complete the form below to secure your sponsorship- opportunities are available on a first-come, first-served basis. Organization & Contact Question Title * 1. Company Name Question Title * 2. Website: Question Title * 3. Contact Name: Question Title * 4. Contact Telephone: Question Title * 5. Contact Email Address: Question Title * 6. Address, City, State, Zip Sponsorship Selections Question Title * 7. Which sponsorship level are you interested in? (Please view sponsorship levels and benefits here.) Platinum Diamond Gold Silver Question Title * 8. Platinum Only: Please rank your preferred sponsored event. (Rank 1-2; required if Platinum is selected.) We'll confirm availability. 1 2 Welcome Luncheon 1 2 Evening Mocktail Event Question Title * 9. Gold Only: Please rank your preferred in-person sponsorship time. (Rank 1-2; required if Gold selected) We’ll confirm based on availability. First Choice Second Choice Group A: May 6, 7:00AM - 11:00AM Group A: May 6, 7:00AM - 11:00AM First Choice Group A: May 6, 7:00AM - 11:00AM Second Choice Group B: May 6, 11:30AM - 4:00 PM Group B: May 6, 11:30AM - 4:00 PM First Choice Group B: May 6, 11:30AM - 4:00 PM Second Choice Question Title * 10. Would you like to offer a presentation for the Virtual Platform? Yes No If yes, what topic/title would you like to share? Question Title * 11. Are you interested in presenting at a future MALA monthly education webinar? Yes No If yes, what topic/title would you like to share? Branding & Program Listing Question Title * 12. Upload your company logo: PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload your company logo: Question Title * 13. Company description for program/website Question Title * 14. Website to link (if different from Q2) Question Title * 15. Questions or other sponsorship ideas? Thank you! We appreciate your partnership with MALA—Michigan’s trusted leader in Assisted Living and Behavioral Health Care. We’ll review your submission and follow up with next steps and confirmation. Done