2022 Symposium Sponsorship Application

Name*

Title*

Organization*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Fax

Email*

Please check the level of sponsorship preferred.

Sponsorship Opportunities

Upload Logo

Drop files here or

Alternatively, you may email your logo in a PDF or EPS file to info@nysarh.org.

This Symposium is designed for you! NYSARH is your Voice for Rural New York.

Please chip in your share to reach NYSARH's goal of $10,000. We are asking all RHNs and RAHs to contribute $200. If you can give $300, thank you. If $100 is your max, we understand.

Donation

$100
$200
$300
None ($0)

Payment Method*

PO Reference Number

Total

$0.00

2022 Symposium Sponsorship Application Form:

Please check the level of sponsorship preferred.