Regional Meeting Sponsorship Proposal Form

General Information

  • This form must be completed in its entirety to be considered for a meeting sponsorship.
  • Submit your proposed budget and any brochures/schedules/marketing materials via email to emra@emra.org
  • A complete list of attendees (name, email, institution) will be provided to EMRA within 5 business days from the close of the meeting
  • This form must be submitted by one of the two semi-annual request-for-proposals (RFP) dates (January 1 and June 1)

Author Information

Name

 
 

E-Mail

 
 

Phone

 
 

Title/Role

(Staff, Volunteer, etc)

 

Meeting Information

Name of Meeting

 
 

Organization

 
 

Date(s)

 
 

Meeting Location

 
 

Shipping Contact/Address

 
 

 

Name

Address

City/State/Zip

 

New or Annual Event?


  • if annual, please describe how the event has historically been organized & funded
  • If new, is it anticipated to be come annual? What are the sustainability plans?
 
 

Has EMRA been involved before?

 
      

Other Funding Sources

Please list confirmed or possible co-sponsors

 

Audience/Objectives

Primary audience (resident, med student, etc.)

 

How many attendees do you expect?

Anticipated
(for new/recurring events)

Last Year's
(for recurring events)

Attendings

  

  

Residents

  

  

Medical Students

 

  

Other (Mid-Levels, Nurses, etc.)

  

  

TOTAL

  

  

Requests from EMRA

 Do you want EMRA to bring content to your meeting?
Note: These requests will be accommodated as schedules and budgets allow

    

If yes, please indicate desired speaker topic & length, or other content (Quiz Show, panel, etc.)

 

EMRA Swag

                         
If yes, how will you distribute?

Financial Support (check one)

                         
Payment Contact & Address  



 Name

Address

City/State/Zip

 

Visibility/Recognition of EMRA Sponsorship

Required

 EMRA Logo

EMRA Presentation 

 Minimus

X   

5 min  

 Maximus

X - presenting sponsor

5 min

 MegaMaximus

X - presenting sponsor

10 min

Additional Offerings
   
Deadline for logos/artwork   
Contact info for logos/artwork    

 
Name

Email

  

 

Submit Your Proposal

  • This form must be completed in its entirety to be considered for a meeting sponsorship.
  • Submit your proposed budget and any brochures/schedules/marketing materials via email to emra@emra.org
  • A complete list of attendees (name, email, institution) will be provided to EMRA within 5 business days from the close of the meeting
  • This form must be submitted by one of the two semi-annual request-for-proposals (RFP) dates (January 1 and June 1)

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