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2. 
4. 2026 Applicaiton for Non-Vendor Sponsorship
6. Company name*

   Please print as you want the name to appear on event website and promotions. 

8. Company Website*
10. Main Contact (For event Correspondence)*
12. Main Contact Job Title*
14. Address*
16. City*
17. State*
18. Zip Code*
20. Phone Number*
22. Email Address*
24. Sponsorship $_______*

    * Conference Directory Listing Booklet

    * Company Logo on Website as a sponsor

    Sponsorship over $1000: 

    * Custom Promotional Floor Clings with company logo

    * Shout-out during breaks between speaker sessions

    *Sponsor logo on livestream digital display screen at entrance of event

26. This contract should be completed and returned no later than April 30, 2026.

    Please make checks payable to CCHD Foundation

    You can mail a copy of this contract and check for fee amount selected above to: 2818 Neuse Blvd, New Bern, NC 28562 Attn: Margareta Slagle

28. Transaction ID

    From PayPal link

30. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
32. Electronic Signature
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field