Intent to Sponsor and Exhibit

INTENT TO SPONSOR AND EXHIBIT

Georgia Academy of Cosmetic Dentistry

2015 Calendar Year

Company Name:

Mailing Address:

City: State: Zip:

Phone: Fax:

Contact Name:

Contact Email:

This is to certify that (Company Name) intends to

be a sponsor and exhibit at the 2015 GACD meetings at the following sponsorship level (detailed on following page):

q Bronze $2,100

q Silver $5,000

q Gold $10,000

Authorized by: (please print)

Authorized Signature / Title: Date:

Sponsorship Benefit Packages

Bronze Benefits Include:

• Exhibit table with power at meeting

•  Verbal recognition as a Bronze Sponsor at the meeting before the guest speaker

•  Recognition on the GACD web site

• Opportunity to separately sponsor breakfast / lunch / post-meeting cocktail party (after Gold and Silver)

• Meal included for one representative (surcharge for additional rep)

Silver Benefits Include:

•  All "Bronze" benefits

• Larger exhibit table with power at meeting

•  Recognized as the Silver Sponsor after the Gold at the meetings before the guest speaker. Opportunity to briefly introduce your company.

•  Optimized recognition on GACD web site after Gold sponsors

•  Recognition on all pre-meeting fliers and mailers

•  Include your company's literature along with the GACD lecture handouts pre-meeting

• Opportunity to separately sponsor breakfast / lunch / post-meeting cocktail party (after Gold)

•  Second choice of the table position at the meeting, after the Gold Sponsors choices

• Meals included for two representatives

Gold Benefits Include:

•  All "Bronze" and "Silver" benefits

•  Optimized recognition on GACD web site

•  Optimized recognition on all pre-meeting fliers and mailers

•  Recognized as the Gold Sponsor at the meetings before the guest speaker. Opportunity to briefly introduce your company.

•  First choice of exhibit table position at the meeting

•  First opportunity to separately sponsor breakfast / lunch / post-meeting cocktail party sponsor

Meal/ Cocktail Reception Opportunities

Each meal sponsor will have:

• Recognition cards on each dining table

• Full size poster incorporating company logo.

Breakfast: Additional $500 individual meeting

Lunch: Additional $750 individual meeting

Cocktail Reception: Additional $1,000 individual meeting