Become a Sponsor Thank you for your support! Company Name* Website* Name* First Last Name of the primary contact. This name and email will be used to manage this sponsorship.Title* Email* Phone*logoLogoAccepted file types: png, jpg, Max. file size: 2 MB.Please upload a high-resolution PNG or JPG of your logo. PNG with transparent background is preferred.Logo (Print)Accepted file types: svg, pdf, ai, eps, Max. file size: 2 MB.Please upload the vector version of your logo (in PDF or SVG format). Note: please DO NOT save a JPG or PNG as a PDF. Ask your marketing/graphics person for a vector PDF or SVG.Logo Trouble? I’m having trouble uploading my logo. Please email me. (Please note, we cannot display your sponsorship on the website until we have a logo file).Invited MemberConfiguration RequiredUse the Nested Form and Summary Fields settings to choose the form and fields to display in this Nested Form field.Sponsorship Level* Diamond – $5000 Platinum – $3000 Gold – $2500 Silver – $1000 Bronze – $500 Event – $300 Total $0.00 Payment Method Credit Card Check Checks can be made payable to Women in Healthcare – Heartland Chapter Please mail payment to: WIH Heartland Attn: Michelle Yates c/o Landco Construction 1400 S. Highway Drive, Suite 99 Fenton, MO 63099Credit CardCard Details Cardholder Name