KnowledgeConnex

Event Name:

UHIMA | Advertising

Please enter the number of email blasts you would like to sponsor below:

Email Sponsorship:

Price Breaks for # of Email Blasts

1

$100.00

2

$100.00

3

$100.00

4

$100.00

5

$100.00

6

$100.00

Please enter the number of months you would like to display your company logo on the homepage:

Website Logo:

Price Breaks for # of months on website homepage

1

$100.00

2

$100.00

3

$100.00

4

$100.00

5

$100.00

6

$100.00

*Company:

*Address:

*City:

*State:

*Zip/Postal Code:

Contact Information

*First Name:

*Last Name:

*Phone Number:

{xxx-xxx-xxxx}

*Email Address:

*Retype Email Address:

Website:

Company Logo:

*Method of Payment:

Pay by Check
Credit Card

I have reviewed and acknowledge acceptance of the terms and conditions which includes the insufficient check funds policy and credit card terms and conditions.

Save Information:

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