ALPHA 2021 - Sponsorship Form

Question Title

* 1. Please enter the following information:

Company Name:

Contact Name:

Mailing Address:

City, State, Zip:

Email Address:

Phone:

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* 2. Please indicate your benefit level of interest:

Denali Level ($10,000 or higher) includes:
- Sponsor recognition on ALPHA website - one year
- Sponsor spotlight (video) during conference
- Sponsorship appreciation at conference opening
- Sponsor logo on rotating slide show for breaks
- Five complimentary conference registrations
- Virtual chat room for content sharing and networking
- Virtual exhibit space (video)
- Sponsor logo and link on conference web page
- Recognition on conference materials and social media
- SPECIAL OFFER! Organizational ALPHA membership - one year

Foraker Level ($5,000 - $9,999) includes:
- Sponsor recognition on ALPHA website - one year
- Sponsor spotlight (video) during conference
- Sponsorship appreciation at conference opening
- Sponsor logo on rotating slide show for breaks
- Three complimentary conference registrations
- Virtual chat room for content sharing and networking
- Virtual exhibit space (video)
- Sponsor logo and link on conference web page
- Recognition on conference materials and social media
- SPECIAL OFFER! Organizational ALPHA membership - one year

Fairweather Level ($2,500 - $4,999) includes:
- Sponsorship appreciation at conference opening
- Sponsor logo on rotating slide show for breaks
- Two complimentary conference registrations
- Virtual chat room for content sharing and networking
- Virtual exhibit space (video)
- Sponsor logo and link on conference web page
- Recognition on conference materials and social media
- SPECIAL OFFER! Organizational ALPHA membership - one year

Marathon Level ($1,000 - $2,499) includes:
- Sponsorship appreciation at conference opening
- Sponsor logo on rotating slide show for breaks
- One complimentary conference registrations
- Virtual chat room for content sharing and networking
- Virtual exhibit space (video)
- Sponsor logo and link on conference web page
- Recognition on conference materials and social media
- SPECIAL OFFER! Organizational ALPHA membership - one year

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* 3. Your sponsorship includes an Organization Membership. Let us know the email address to which you would like ALPHA information sent.

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* 4. For Denali Sponsorship, please list name, company and title for up to five free Health Summit registrations.

For Foraker Sponsorship, please list name, company and title for up to three free Health Summit registrations.

For Fairweather Sponsorship, please list name, company and title for two free Health Summit registration.

For Marathon Sponsorship, please list name, company and title for one free Health Summit registration.

Name, Company, Title

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* 5. Upon acceptance by ALPHA, this agreement will become a contract between the sponsor and ALPHA for the Alaska Health Summit. The sponsoring organization and its representatives agree to abide by the information listed.

Authorized Representative:

Date:

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* 6. Payment in full must be received to finalize this Sponsorship contract. This is non-refundable.
If paying by credit card, click on this link to PayPal.

If paying by check, mail check to Information Insights, PO Box 83070, Fairbanks, AK 99708 (must be received prior to event)

ALPHA 2021 - Sponsorship Form

Question Title

* 1. Please enter the following information:

Question Title

* 2. Please indicate your benefit level of interest:

Question Title

* 3. Your sponsorship includes an Organization Membership. Let us know the email address to which you would like ALPHA information sent.

Question Title

Question Title

* 5. Upon acceptance by ALPHA, this agreement will become a contract between the sponsor and ALPHA for the Alaska Health Summit. The sponsoring organization and its representatives agree to abide by the information listed.

Question Title

* 6. Payment in full must be received to finalize this Sponsorship contract. This is non-refundable.
If paying by credit card, click on this link to PayPal.

If paying by check, mail check to Information Insights, PO Box 83070, Fairbanks, AK 99708 (must be received prior to event)

Question Title

* 7. Exact amount of sponsorship:

Question Title

* 8. Organization description for the conference program (200 word limit):

ALPHA 2021 - Sponsorship Form

Question Title

* 1. Please enter the following information:

Question Title

* 2. Please indicate your benefit level of interest:

Question Title

* 3. Your sponsorship includes an Organization Membership. Let us know the email address to which you would like ALPHA information sent.

Question Title

Question Title

* 5. Upon acceptance by ALPHA, this agreement will become a contract between the sponsor and ALPHA for the Alaska Health Summit. The sponsoring organization and its representatives agree to abide by the information listed.

Question Title

* 6. Payment in full must be received to finalize this Sponsorship contract. This is non-refundable.If paying by credit card, click on this link to PayPal. If paying by check, mail check to Information Insights, PO Box 83070, Fairbanks, AK 99708 (must be received prior to event)

Question Title

* 7. Exact amount of sponsorship:

Question Title

* 8. Organization description for the conference program (200 word limit):

* 6. Payment in full must be received to finalize this Sponsorship contract. This is non-refundable.
If paying by credit card, click on this link to PayPal.

If paying by check, mail check to Information Insights, PO Box 83070, Fairbanks, AK 99708 (must be received prior to event)