Dear Sponsor,

Thank you for your interest in sponsoring NJPRA’s Annual Conference.  This conference is the premier event for New Jersey’s Psychiatric Rehabilitation staff.  Please complete this form for the following:

          CONFERENCE SPONSORING PACKAGES: If you would like to sponsor the conference, please use one of these packages

                 Click here for package descriptions

          ADVERTISE IN PROCEEDINGS:  If you would like to advertise in the Proceedings Booklet, please choose one of the following.

RESERVE A VENDOR/DISPLAY TABLE:  If you would like to reserve a Display Table at the conference, please choose one of the following.

CONTACT INFORMATION: Please complete the following information.

Name:         Affiliation:

Phone:         Email:

Address:

City, State, Zip:

PAYMENT INFORMATION:

 

                        Name on Card:

                        Billing Address:

                        Billing City, State and Zip Code:

                        Account Number:

                        Expiration Date:     CVV2#:

                        Type of Card:

 

Thank you for your sponsorship of the Annual Conference. 

 

Sincerely,

 

Ruth Cook,

Conference Chair


Form created by Ruth Cook
Copyright © 2007 NJPRA. All rights reserved.
Revised: 10/17/08