Sponsorship Opportunities Please enable JavaScript in your browser to complete this form.Exhibiting Company *Address *Address Line 1CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary Contact Person *FirstLastPhone *Email *Secondary Contact Person *FirstLastEmail *Phone * Sponsorship Opportunities Diamond – $35,000 SOLD OUT – Booth – Meeting App – Digital Ads (NN/ASN Website) – Social Media – Program Print Ad – Host a Social event OR Keynote Sponsorship – 4 Full Registrations Included – Attend Meals & Events Gold – $25,000 SOLD OUT – Booth – Digital Ads (NN/ASN Website) – Social Media – Program Print Ad – Host a Social event OR Keynote Sponsorship – 2 Full Registrations Included – Attend Meals & Events Silver – $10,000 SOLD OUT – Booth – Digital Ads (NN/ASN Website) – Social Media – Program Print Ad – 2 Full Registrations Included – Attend Meals & Events Bronze – $5,000 SOLD OUT – Booth – 1 Full Registration Included – Attend Meals & Events Sponsorship Levels:Diamond (SOLD OUT) – $35,000.00Gold (SOLD OUT) – $25,000.00Silver (SOLD OUT) – $10,000.00Bronze (SOLD OUT) – $5,000.00The sponsorship deadline is December 1, 2022 Branding Opportunities Full page advertisement – $2,000.00Does not include exhibit booth Ad to be submitted before December 22, 2022 Total Amount$0.00Payment Type *Check Please submit this form and email Maria Caserta (mcastera@dentinstitute.com) or Ashley Matecki (amatecki@neuronetgpo.com) for next steps. Please submit this form and mail and make out the check to: NeuroNet Pro ATTN: Ashley Matecki 3980 Sheridan Drive Amherst, NY 14226 Submit