MARION COUNTY MEDICAL SOCIETY

PO Box 3655   Ocala, FL 34478                                   Phone / Fax: 352-732-8883

CORPORATE PARTNER / SPONSORSHIP CONTRACT

Corporate Partner:

   _____  Gold Partner - $2,000                                        _____  Silver Partner - $1,500

     _____  Bronze Partner - $1,000                                    _____  Business Partner - $600

Meeting Sponsorship:     _____ $2,500

Newsletter Advertisement Opportunities:

  _____  1 page - $200                                                   _____  ½ page - $125

            _____  ¼ page - $75                                                     _____  Business Card - $50

         Which edition: [Quarter]       _____ 1ST        _____  2ND     _____  3rd     _____  4th

Business Card Advertisement for website only:     _____ $350 per year

Sign Contract: __________________________________________ Date: _______

Print Name: ________________________________________________________

Billing Address: _____________________________________________________

____________________________________________________________________

Phone: _______________________ Email Address: _________________________

Check enclosed: ________ or pay securely by using the link below

   https://secure.affinipay.com/pages/mcmsocala/payments

Please complete this form and return to: PO Box 3655  Ocala, FL 34478 or email to:

mcmsocala1@gmail.com