TCRHC Sponsor Registration Step 1 of 4 - Sponsor Package 0% Total Which sponsor package are you purchasing? Bronze Silver Gold Ballroom Company Name(Required)Comany Website(Required)Company Description(Required)Attach a company logo (jpg, gif, png, pdf)(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB. Company Representative Name(Required)Who should we send all the sponsor/exhibit info to?Company Representative TITLE(Required)Company Representative EMAIL(Required)Attendee #1If you do not know this information yet, please put N/A. Please note - all attendee name and information is due to events@coruralhealth.com 1 month before the event.Attendee 1 Name(Required)Attendee 1 Title(Required)Attendee 1 Email(Required)Attendee 1 - allergiesAny allergies we should be aware of?Attendee #2If you do not know this information yet, please put N/A. Please note - all attendee name and information is due to events@coruralhealth.com 1 month before the event.Attendee 2 Name(Required)Attendee 2 Title(Required)Attendee 2 Email(Required)Attendee 2 - allergiesAny allergies we should be aware of? Sponsor Benefit QuestionsIf you do not know the requested information yet, please put N/A. Please note - all information is due to events@coruralhealth.com 1 month before the event.Do you plan to take advantage of the benefit of introducing a general session speaker? If yes, please provide the name and phone number of who will speak.Silver Sponsors get to introduce a general session speaker.The Sponsor Breakfast allows someone from your team to stand on stage during breakfast on Friday and speak for up to 3 minutes. Do you plan to take advantage of this benefit? If yes, please provide the name and phone number of who will speak.Hosting a breakout room is included in your benefits. We will name the room after you on our agendas, and place 1 sign outside of the room. Do you plan on taking advantage of this benefit?(Required) Yes No You are welcome to bring additional signage or marketing materials to put inside this room. If you plan to take advantage of this opportunity, please plan to set this up during breakfast on Thursday AM.Do you plan to take advantage of the benefit of introducing a keynote session speaker? If yes, please provide the name and phone number of who will speak.Gold Sponsors get to introduce a Keynote session speaker.Hosting a breakout room is included in your benefits. We will name the room after you on our agendas, and place 1 sign outside of the room. Do you plan on taking advantage of this benefit?(Required) Yes No You are welcome to bring additional signage or marketing materials to put inside this room. If you plan to take advantage of this opportunity, please plan to set this up during breakfast on Thursday AM.The Sponsor Breakfast allows someone from your team to stand on stage during breakfast on Friday and speak for up to 3 minutes. Do you plan to take advantage of this benefit? If yes, please provide the name and phone number of who will speak.You are allotted 1 push notification sent out to all attendees through the event app. What would you like your push notification to say?This push notification allows for up to 200 characters, highlighting, bold, underline, and links. Emojis are not supported. Sponsor Booth OptionsIf you do not know the requested information yet, please put N/A. Please note - all information is due to events@coruralhealth.com 1 month before the event.Option to add on electrical access(Required) Yes No The hotel charges $75 for electrical access at your boothWould you like to purchase happy hour drink tickets ($10 each)(Required) Yes No Purchase these for you or your team or to give out to attendees you've connected with!How many drink tickets ($10 each) would you like to purchase? Will you be staying at the Omni Hotel?(Required) Yes No Not sure yet Have you already booked your room? We can help you book your room right here in this form!(Required) Yes No Please enter your hotel confirmation number (if you have it)Would you like CRHC to reserve a hotel room for you?(Required) Yes No We have a discounted rate at the hotel for our conference attendees of XXX. This should be the least expensive rate. If you see a less expensive rate online, please keep in mind that our rate has a waived $30 resort fee. All other rates you see online will have an additional $30 per room per day added at checkout. Guest name for the hotel room(Required)Would you like 1 king bed or 2 queens(Required) 1 King 2 Queens Do you have any special requests or accomodations?TotalConference Week Registration Price: Total Δ Subtotal Options Total TCRHC Sponsor Registration quantity Add to shopping bag Need Help? Contact Us Leave Feedback Contact Us CommentsThis field is for validation purposes and should be left unchanged.First Name*Last NameEmail* Subject*General QuestionUpcoming EventGrant QuestionMedia InquiryYour Message*CAPTCHA Δ Leave Feedback Share
