Add-on Sponsorship Opportunities Company NameIDPrimary Contact Name First Last Primary Contact Email Add-on Sponsorship OpportunitiesIf you did not select any Add-on Sponsorships during the application process, please select your choice(s). If you did select sponsorship opportunities on your application and want to add, do not reselect your previous choice(s).Sponsorship OpportunitiesBased on Availability (see details and pricing in Exhibitor Prospectus)Advertising Lanyards (1 item remaining) WiFi including Splash Page (1 item remaining) ROCKS Bags (1 item remaining) Hotel Key Cards (1 item remaining) ROCKS Program Advertisement: 1/4-page (50 items remaining) ROCKS Program Advertisement: 1/2-page (50 items remaining) ROCKS Program Advertisement: Full-page (50 items remaining) Company-Sponsored Email Blasts (50 items remaining) Based on Availability (see details and pricing in Exhibitor Prospectus)Lanyards Price: WiFi including Splash Page Price: Hotel Key Cards Price: ROCKS Bags Price: ROCKS Program Advertisement: 1/4-page Price: ROCKS Program Advertisement: 1/2-page Price: ROCKS Program Advertisement: Full-page Price: Company-Sponsored Email Blasts Price: Networking Lounge Price: 4 items available.Exclusive Opportunity for 1 sponsor (4 couches and 4 tables with chargers), subject to inventory availability Cost: $18,000 Multiple Sponsor Opportunity (1 couch and 1 table with charging capabilities per sponsor) Cost: $5,000 Networking Lounge QuantityPlease enter a number from 0 to 4.Subtotal $0.00 Food and Beverage RECEPTION (1 item remaining) BREAKFAST 1 (1 item remaining) BREAKFAST 2 (1 item remaining) LUNCH (1 item remaining) REFRESHMENT BREAK 1 – Morning (1 item remaining) REFRESHMENT BREAK 2 – Afternoon (1 item remaining) REFRESHMENT BREAK 3 – Morning (1 item remaining) Based on Availability (see details and pricing in Exhibitor Prospectus)Add Hot/Cold Cups with Corporate Logo – Reception Hot/Cold Cups with Corporate Logo – Reception (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Breakfast 1 Hot/Cold Cups with Corporate Logo – Breakfast 1 (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Breakfast 2 Hot/Cold Cups with Corporate Logo – Breakfast 2 (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Lunch Hot/Cold Cups with Corporate Logo – Lunch (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Refreshment Break 1 Hot/Cold Cups with Corporate Logo – Refreshment Break 1 (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Refreshment Break 2 Hot/Cold Cups with Corporate Logo – Refreshment Break 2 (1 item remaining) Add Hot/Cold Cups with Corporate Logo – Refreshment Break 3 Hot/Cold Cups with Corporate Logo – Refreshment Break 3 (1 item remaining) RECEPTION Price: Hot/Cold Cups with Corporate Logo – Reception Price: BREAKFAST 1 Price: Hot/Cold Cups with Corporate Logo – Breakfast 1 Price: BREAKFAST 2 Price: Hot/Cold Cups with Corporate Logo – Breakfast 2 Price: LUNCH Price: Hot/Cold Cups with Corporate Logo – Lunch Price: REFRESHMENT BREAK 1 – Morning Price: Hot/Cold Cups with Corporate Logo – Refreshment Break 1 Price: REFRESHMENT BREAK 2 – Afternoon Price: Hot/Cold Cups with Corporate Logo – Refreshment Break 2 Price: REFRESHMENT BREAK 3 – Morning Price: Hot/Cold Cups with Corporate Logo – Refreshment Break 3 Price: Satellite Events Company-Sponsored Satellite Event: Standard Meeting Room (4 items remaining) Company-Sponsored Satellite Event: Atrium Gathering Space (3 items remaining) Based on Availability (see details and pricing in Exhihibitor Prospectus)Company-Sponsored Satellite Event: Standard Meeting Room Price: Company-Sponsored Satellite Event: Atrium Gathering Space Price: Lead RetrievalPurchase Lead Retrieval? Lead Retrieval Based on Availability (see details and pricing in Exhibitor Prospectus)Lead Retrieval Price: Total SummarySponsorship Opportunities – Advertising $0.00 Sponsorship Opportunities – Networking Lounge $0.00 Sponsorship Opportunities – Food and Beverage $0.00 Sponsorship Opportunities – Satellite Events $0.00 Lead Retrieval $0.00 Subtotal $0.00 Credit Card Surcharge $0.00 2.9% credit card surcharge will be added to credit card transactions.Total Due Payment Type(Required) Credit Card Check Purchase Order (PO) Credit CardCard Details Cardholder Name Check must be received Net 7 days to secure booth space. Make check payable to Currrent Concepts Institute and mail to: Current Concepts Institute 2310 Superior Ave. East Suite 100 Cleveland, OH 441142.9% credit card surcharge will be added to credit card transactions.Upload Purchase Order (PO)(Required)PO (pdf) must be uploaded to secure booth space and/or sponsorship opportunitiesAccepted file types: pdf, Max. file size: 2 MB.Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country This field is hidden when viewing the formsponsyThis field is hidden when viewing the formleadThis field is hidden when viewing the formPayment Received Yes No This field is hidden when viewing the formPO Received Yes No This field is hidden when viewing the formPayment AmountThis field is hidden when viewing the formPayment Date MM slash DD slash YYYY This field is hidden when viewing the formPayment MethodThis field is hidden when viewing the formPayment StatusThis field is hidden when viewing the formTransaction IDThis field is hidden when viewing the formTransaction TypeThis field is hidden when viewing the formCheck NumberThis field is hidden when viewing the formNotes
