Dear HCEA Member:

Thank you very much for your interest in sponsorship at the 2012 HCEA Annual Meeting in Orlando. We appreciate your support and look forward to working with you this year.
Please complete the online form below and click submit. We will email you a receipt upon payment processing. If you have any questions, please do not hesitate to contact me, and thank you for your support of HCEA.

Sincerely,

Jackie Beaulieu
HCEA Executive Vice President
678-303-2959

Yes! Our organization is interested in sponsorship at the HCEA 2012 Annual Meeting. The list below outlines the various levels of sponsorship opportunities available at the Annual Meeting. Sponsors of events at the 2011 Annual Meeting will be offered first-right-of-refusal. Additional opportunities may become available as details of the meeting are finalized.

Indicate which level of sponsorship most reflects the fair market value of the items or service that will be included in your sponsorship or indicate which level of educational sponsorship you would like.

Please indicate the fair market value (in dollar amount) of your in-kind sponsorship

Please provide supporting documentation for the dollar amount of your in-kind sponsorship.

Itemize the specifics that will be part of your sponsorship. These items will be part of the sponsorship recognition that you receive during the Annual Meeting (signage, presentation, final program, etc.)

We are interested in sponsoring the same event we sponsored at the 2011 Annual Meeting. Please list the name of the event/activity sponsored. (Please note we must receive your request by March 30.)

Sponsorship Benefits	Diamond	Platinum	Gold	Silver	Bronze	President
Free meeting registrations	3	2	1	$400 discount
Recognition in HCEA Edge	Logo	Logo	Name	Name	Name	Name
Recognition on HCEA website (Grand listed first, then various sizes)*	Logo	Logo	Name	Name	Name	Name
Recognition in Preliminary Program (Grand listed first, then various sizes)*	Logo	Logo	Name	Name	Name	Name
Recognition in HCEA show magazine (Grand listed first, then various sizes)*	Logo	Logo	Name	Name	Name	Name
Recognition on Signage (Grand listed first, then various sizes)*	Logo	Logo	Name	Name	Name	Name
Verbal recognition during keynote general session (Company name mentioned)	a	a
Recognition on multimedia presentation during official lunch (various sizes)*	Logo	Logo	Name	Name	Name	Name

First Name

Last Name

Company Name

Street Address

Address Line 2

City

State/Region

Postal Code

Country

Phone

Fax

Email Address

Payment Options

Method of payment

Will send check (you will be invoiced after submitting this form)

Credit card

Name on Card

Credit Card Type

Credit Card Number

CSC Code

Expiration Date (mm/yy)

Additional Comments

Healthcare Convention & Exhibitors Association * 1100 Johnson Ferry Road * Suite 300 * Atlanta, GA 30342 * www.hcea.org * 404-252-3663 * Fax: 404-252-0774

Indicates Response Required

Sponsorship Benefits

Payment Options