Become a Scholarship Program Sponsor

Saturday, July 15, 2017

Marriott Downtown Magnificent Mile, Chicago, Illinois

Scholarships are awarded to individuals or families who, because of financial need, would not be able to attend the Conference. Potential awardees must participate in an application process with winners being notified by May 1. As a Scholarship Program sponsor, you will help underwrite the cost of a two-night hotel stay and Conference registration fees (including breakfast, lunch, evening social and childcare, if applicable) for up to two adults and two children. Scholarship winners must provide their own transportation to/from the Conference.

Sponsorship Level

First Name

Last Name

Payment Option

Pay Now
Pay by Check

If paying by check, please remit payment to: Usher Syndrome Coalition, 2 Mill & Main Place, Suite 418, Maynard, MA 01754

Credit Card Information

Cardholder Name

Credit Card #

Visa MasterCard American Express Discover

Expiration Date

Security Code

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Country

State

Address

City

Postal Code

If you're sponsoring as an organization, please provide the following information:

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Organization Name

Organization Description (50 words or less):

High res logo (JPG or PNG)

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Organization Website

Sponsor Benefits

Scholarship Program Sponsor ($2,500)

Recognition as a Scholarship Sponsor in all pre- and post-conference communications
Logo on the Connections Conference web page with hyperlink
Logo featured on Coalition’s website with hyperlink (4,000 unique visitors per month)
Logo on all conference-branded materials
Half-page ad in digital event program
Two complimentary conference passes, which include continental breakfast, lunch, and Evening Social
Logo displayed on signage at welcome/registration booth (tables)
6’ skirted table and two chairs in the Exhibitor Area

Presenting Sponsor - Exclusive ($20,000)

Evening Social Sponsor - Exclusive ($10,000)

Speakers' Dinner Sponsor - Exclusive ($5,000)

Kids Day Sponsor - Exclusive ($5,000)