Please complete this form to sponsor the following events:
  • Indiana Public Health Association 2023 Policy & Advocacy Forum (January 19th, 2023)
  • MOMENTUM: Indiana Public Health Association 2023 Annual Meeting & Conference (April 18, 2023)
  • 2023 Indiana Health Equity Summit (August 17-18, 2023)
Learn more about sponsorship packages and benefits HERE.
 
Contact kbledsoe@hbdin.org with questions.

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* 1. Contact Name

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* 2. Organization

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* 3. Mailing Address

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* 4. Email Address

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* 5. Phone Number

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* 6. Sponsorship Level

Learn more about sponsorship packages and benefits HERE.

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* 7. What is your preferred method of payment? 

If your preferred method of payment is credit card, you may pay HERE.

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

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