Conference Sponsorship Opportunities
2009 VAFC and VRHA Conference
November 15-17
Homestead Resort – Hot Springs, VA
Sponsor Benefits / Exemplar$10,000 / Leader
$5000 / Partner
$2,500 / Patron
$1,000 / Associate
$500
Conference Hotel Accommodations / 2 rooms for 1 night / 1 room for 1 night
Reserved Seating for Sunday Banquet / 2 tables for 8 with sign / 1 table for 8 with sign / 1 table for 8 with sign
Full Registration to Conference / 4 free / 2 free / 1 free / 1 free / 1 free
Marketing Opportunities / Banquet
AND Free Exhibit Space / Mid-level Event AND Free Exhibit Space / Coffee Break AND Free Exhibit Space / Breakout Session
AND Free Exhibit Space / Breakout Session
OR Free Exhibit Space
Full-Color Logo on Conference Website and Sponsor Board / Full-Color Logo
(artwork must be received by 10/23/09) / Full-Color Logo
(artwork must be received by 10/23/09) / Full-Color Logo
(artwork must be received by 10/23/09) / Full-Color Logo
(artwork must be received by 10/23/09) / Full-Color Logo
(artwork must be received by 10/23/09)
Advertising in Conference Program / Full Page Ad
(artwork must be received by 10/23/09) / Half Page Ad
(artwork must be received by 10/23/09) / Quarter Page Ad
(artwork must be received by 10/23/09) / Business Card Ad
(artwork must be received by 10/23/09) / Name Listing
Exemplar ($10,000) Leader ($5,000) Partner ($2,500) Patron ($1,000) Associate ($500)
We plan toutilize our sponsor benefit of free exhibit space
Materials/Exhibit Only
Note: these categories do not include meals or conference participationPlease see website for details on conference and meal pricing
Please check the appropriate box:
Bag Insert
Materials provided will be included in all participant bags. Materials must be shipped to VRHA* and received no later than October 30, 2009 / Non-Profit Organization / For-Profit Organization
early bird
(prior to 10/2/09) / after 10/3/09 / early bird
(prior to 10/2/09) / after 10/3/09
FREE / $50 / $100 / $150
Exhibit Booth / $100 / $150 / $250 / $300
* Bag inserts must be shipped to:Virginia Rural Health Association
2265 Kraft Drive
And received no later than 10/30/09Blacksburg, VA 24060
Organization:______
Contact Person: ______
Mailing Address: ______
Phone: ______e-mail: ______
Person(s) Tending Exhibit (If different from above)
Name:______email: ______
Name:______email: ______
Please complete the form and fax to VAFC by October 23rd, 2009 at 804-340-3435
Sponsor the 2009 VAFC/VRHA Conference:
Exemplar Leader Partner Patron Associate We plan to utilize the free exhibit space
Exhibit at the 2009 VAFC/VRHA Conference:
Non-ProfitBooth Bag Inserts For ProfitBooth Bag Inserts
Upon receipt of your fax or completed form you will receive a confirmation e-mail or e-mail with further information and details of your participation in the conference. If you have any questions, please contact VAFC Office Manager Jennifer O’Dell at 804-340-3434 or .
Credit Card Information
Account Number______Exp. Date______
Name as it appears on Credit Card ______
Credit Card billing address/city/state/zip ______
OR mail your sponsor check made payable to:Virginia Association of Free Clinics
10231 Telegraph Road, Suite B
Federal Tax ID #54-1802019Glen Allen, VA 23059
Our organization assumes the entire responsibility and liability for losses, damages, and claims arising out of injury to persons or damage to our display, equipment, or other property brought upon the premises of The Homestead and agrees to indemnify, defend, and hold harmless the Virginia Association of Free Clinics, The Virginia Rural Health Association and The Homestead and its owners, servants, agents, and employees. We further understand that both the Virginia Association of Free Clinics or The Virginia Rural Health Association nor The Homestead maintains insurance covering our property or lost revenue and it is the sole responsibility of our organization to obtain such insurance.
Signature of Contact Person Date
Thank you for your support of the
Virginia Association of Free Clinics and the Virginia Rural Health Association!