Contact Name *

First Name

Last Name

Phone

(###)

###

####

Sponsorship Level *

Premium Sponsorship ($1200) 2 minute Intro, Table/Booth space, Vendor Logo on website and agenda, Brochures/Handouts available to attending members, Focused time to give 15 Min talk.

Standard Sponsorship ($600) 2 minute Intro, Table/Booth space, Vendor Logo on website and agenda, Brochures/Handouts available to attending members

Basic Sponsorship ($300) Brochures/Handouts available to attending members

Payment *

RMAAPM Chapter EIN# is: 20-3902775.

Credit Card - Click on link to the left for payment

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