2024 GLW Sponsorship Form

Sponsorship Form

November 19, 2024 | Field Museum | Chicago

For questions about this form or more information about event sponsorship contact: Meghan Nousaine, Senior Director, Communications and Development at mnousaine@nchl.org.

2024 Gail L. Warden Leadership Excellence Award Celebration Sponsorship Commitment Form

Please assure you enter all organizational information carefully.

REQUIRED

Primary contact name*

REQUIRED

Title*

REQUIRED

Email contact*


Re-enter to confirm

Confirm email doesn't match email.

REQUIRED

Sponsoring Organization Name (as you want it listed on our website and event materials)*

REQUIRED

Organizational Billing Address*

REQUIRED

Phone Number*

REQUIRED

Organizational LinkedIn Profile (for marketing and tagging purposes)

REQUIRED

Organizational Website*

Sponsorship Level Selection

Every attempt will be made to update this form as special sponsorship add-ons become unavailable. However, if an exclusive add-on should be selected that is sold out, NCHL staff will reach out to the indicated contact to provide additional opportunities.

Special Notices:

  • You must first select a Supporting or VIP Sponsorship to add a Special Sponsorship.

REQUIRED

Please select your primary level of sponsorship. *



REQUIRED

Please select any special add-ons to your sponsorship.

Note: Add-ons with an asterisk "*" require that you've selected a VIP sponsorship

As of 5/30/24, the Presenting Sponsor Level, Main Stage Sponsor Level, Champagne Wall Sponsor, and Wine Sponsor Level are no longer available. 







REQUIRED

Upload a HIGH-QUALITY organizational logo for marketing purposes. The file format should be .PNG or .EPS.
Select Files

REQUIRED

An invoice will be sent to the contact and email address provided above. Payment can be made via:*

  • ACH bank transfer (all sponsorship levels - preferred)
  • Credit card (only for sponsorships totaling less than $5,000)
  • Check made out to NCHL or National Center for Healthcare Leadership and sent to (check payment must be received at least four weeks prior to the event):

    National Center For Healthcare Leadership
    P.O. Box 735225
    Chicago, IL 60673-5225, United States

Sponsorships will not become active on the event website or materials until payment is received. For sponsorship forms submitted after October 1, 2023, payment must be made via ACH bank transfer or credit card. Following the submission of this form, an invoice will be sent to the primary contact listed above.

Please indicate your preferred method of sponsorship payment below.

 




Thank you for your sponsorship. We're excited to have you join us!

If you have any questions following the submission of this form, please contact Meghan Nousaine at mnousaine@nchl.org. or info@nchl.org.

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