2024 National Latino Behavioral Health Conference

Sponsorship/ Exhibitor/Advertisement Request Form

All requests for sponsorship, exhibitors, and/or advertisement must use this form. All requests will be handled on a first-come, first-served basis. The conference organizers reserve the right to review all applications for approval to ensure consistency with the conference theme and the vision and mission of the National Latino Behavioral Health Association (NLBHA).

Confirmation of your sponsorship, exhibitor, and/or advertisement request will be a QuickBooks Invoice with a link for a debit/credit card payment. Note: checks will not be accepted.

After the payment has been processed, an email from NLBHA will be sent, requesting a jpeg logo and other details such as name, trademark etc.

Sponsorship/Exhibitor/Advertiser pledges will not be processed without payment.

Any questions regarding the conference or sponsorship/ exhibit requests, please contact us at: nlhconference@nlbha.org

Please enable JavaScript in your browser to complete this form.

Organization Name *

Name *

First

Last

Title

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email *

Website / URL

Sponsorship Level Requested: (check all that apply)

Event Sponsorships

• “Abuelo/Abuela” Event Sponsor – $15,000.00
• “Papa/Mama” Event Sponsor – $10,000.00
• “Compadre/Comadre” Event Sponsor – $5,000.00
• “Tío/Tía” Reception Sponsor – $3,000.00
• “Padrino/Madrina” Keynote Sponsor – $2,500.00
• “Primo/Prima” Workshop Sponsor – $2,000.00
• “Hermano/Hermana” Luncheon Sponsor – $1,500.00
• “Desayuno” Continental Breakfast Sponsor – $1,000.00
• “Amigo/Amiga” Conference Program/SWAG Sponsor – $1,000.00
• “Cafecito” AM/PM Break Sponsor – $500.00

Exhibitors

• Exhibitor Booth (10’x10”) in Exhibit Hall – $10,000.00
• Corporations/Private Companies Table (4’x6′) – $2,000.00
• Government Agencies & Universities Table (4’x6′) – $1,500.00
• Non-Profit Organizations Table (4’x6′) – $1,000.00
• Small Business Table (4’x6′) – $750.00

Advertisers

• “Ahau” Advertisement Full-Color Page (7” wide x 10” high) – $1,500.00
• “Balam” Advertisement Full B/W Page (7” wide x 10” high) – $1,000.00
• “Ixchel” Advertisement Color 1/2-page (3.5” wide x 5” high) – $1,000.00
• “Kukulcan” Advertisement B/W 1/2-page (3.5” wide x 5” high) – $750.00
• “Ixtab” Advertisement Quarter (1/4) Color page (3.5” wide x 2.5” high) – $500.00
• “Yaxkin” Advertisement Quarter (1/4) B/W page (3.5” wide x 2.5” high) – $350.00

Scholarship Sponsorships

• “Azteca” – Students – $1,000.00
• “Quetzal” – Consumers/Peers – $1,000.00
• “Xochitl” – CHWs/Promotores(as) – $1,000.00
• “Teocali” – Family Members – $1,000.00

Total

$0.00

Submit