2008 Sponsorship Form

Red items must be completed to best serve you.

Name:

Last

First

Profession

Organization:

Address:

City:

State:

Zip:

Telephone:

Fax Number:

Email:

SPONSORSHIP LEVELS (please check one)
	Co-sponsorship . . . . . . . . .	$5,000
	Special Reception. . . . . . .	$3,500
	Track. . . . . . . . . . . . . . .	$3,000
	Keynote Speaker or RUP . . . .	$2,500
	Membership Luncheon. . . . .	$2,500
	Refreshment Breaks . . . .	$500
	Scholarship Grants. . . . .	Amount:
	Donation. . . . . . . . . . . . .	Amount:

Would you like to exhibit?	yes no
Number of complimentary registrations:	1 2 3 4
Names:

PAYMENT OPTIONS: (please choose one)
	I will send a check, made payable to NARMH, 300 33rd, Suite 101, Waite Park, MN 56387
	I have requested a Purchase Order #. The check will be mailed at a later date.
	Please invoice me
	Pay by credit card using the Paypal account. You do not have to have a PayPal account or you can use your existing Paypal account to pay by credit card. Paypal, an eBay Company, is a safe, secure way to transfer funds by credit card. After you register the PayPal icon will appear and follow the step-by-step instructions.