ISHN Sponsorships
SPONSORSHIP FORM
2023 Indiana School Health Network Conference
June 14-15, 2023
Embassy Suites Plainfield, Indiana
Organization
*
Contact
*
Address
*
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Phone
*
Email
*
Sponsorship
Choose Level
*
Platinum
Gold
Silver
Bronze
Contact information for Request and Approval of Logo
Name
*
Phone
*
Email
*
Contact Information for Request and Approval of Ad
Name
*
Phone
*
Email
*
Contact Information for Person Who Will Complete the Exhibitor Form
Name
*
Phone
*
Email
*
Please respond by May 5, 2023
Only checks will be accepted
Make checks payable to Covering Kids and Families of Indiana and mail to:
Covering Kids & Families of Indiana
• 1100 West 42nd Street, Suite 317 •
Indianapolis, Indiana 46208
Call (317) 441-0214 or email Sarah Thompson at
[email protected]
for more information.
If you are human, leave this field blank.
Submit
Δ