NBLHO Sponsorship Registration

2010 LMSA-Northeast/NBLHO Annual Conference

Thank you for your interest in sponsoring the 37th Annual LMSA-Northeast/NBLHO Conference at the Yale University School of Medicine. You can choose to complete this electronic form completely online and pay via Paypal or to mail a paper check, payable to Boricua Latino Health Organization at:

National Boricua Latino Health Organization
c/o Sylvia Montalvo, NBLHO Treasurer
Gracie Station, 229 E. 85th Street, P.O. Box 57
New York, NY 10028

The options for sponsorship include the following:

  • Exhibitor:($250) Full Table, Registration for 2 representatives, and Half-page advertisement in Program
  • Full page advertisement: ($100)
  • Half page advertisement: ($75)
  • Quarter page advertisement: ($60)
  • Logo and company name not to exceed 25 letters: ($35)
  • Conference Sponsor: ($500) Full Table, Registration for 2 representatives, Full-page advertisement in program, and Banner Display
  • Official Sponsor ($1000) Full Table, Registration for 2 representatives, Full-page advertisement in program, Banner Display + Your Official name and logo on all correspondence involving the conference
  • General Sponsor: Donations of $25 or more. All Donors in this category will be listed on the back page of conference program.
We ask that any interested organizations register by January 11th, 2010.

STEP 1: Organizational Information

Name of School/Organization:

Name of Attending Recruiter/Exhibitor/Sponsor/Contact:

Title of Attending Recruiter/Exhibitor/Sponsor/Contact:    

Address of Organization:

Phone:

E-Mail:

(Please select one of the following)
Exhibitor: ($250)
Full page advertisement ($100)
Half-page advertisement ($75)
Quarter-page advertisement ($60)
Logo and company name ($35)

Conference Sponsor ($500)

Official Sponsor ($1000)
General sponsorship ($Varies)





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