Conference Sponsor & Partner Opportunity

Thank you for your interest in participating in the 2024 Triage Cancer Conferences. Please complete the following form to secure your spot today! If you have any questions, please email Carson at cc@triagecancer.org.

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* 1. Organization Name

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* 2. Who will be your organization's primary point of contact:

First Name

Last Name

Title

Email Address

Phone Number

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* 3. Please upload your organization's latest logo. (JPEG and PNG preferred)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 4. Have you read through the Triage Cancer Conference Sponsorship Opportunities packet?

Yes

If not, please download and read this Conference Opportunities Packet

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* 5. At which level would you like to participate in the 2024 Triage Cancer Conferences?

Presenting Sponsor (2 Events) $10,000

Benefactor Sponsor (2 Events) $5,000

Supporting Sponsor (2 Events) $2,500

Community Partner (2 Events) $200

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* 6. How are you able to help us promote the Conferences to your community?

Social Media

Newsletters

Event Calendars

Other (please specify)

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* 7. I will be submitting my payment by

Mailing a check (made payable to "Triage Cancer 6348 N Milwaukee Ave. #136 Chicago, IL 60646")

Credit card online (at the conclusion of the survey you can submit a payment here)

Credit card by phone (please call 424.258.4628)

Other (please specify)

None of the above