The SoCal LGBTQIA Health Conference is a one-day event that brings together lesbian, gay, bisexual, transgender, queer, intersex, and allied health professional and undergraduate students to take part in dynamic conversations on healthcare’s most urgent issues, learn from health care leaders in the community, and engage in interactive workshops that will prepare you for the future of LGBTQIA-inclusive health care. This conference was created by a group of medical students across Southern California looking to bring attention to the healthcare needs of LGBTQIA communities in Southern California. Our mission is to educate, empower, and support all who advocate for the physical, emotional, and psychological wellness of LGBTQIA communities.

The third annual SoCal LGBTQIA Health Conference will be held at the David Geffen School of Medicine at UCLA on Saturday, February 18 and is co-sponsored by the Los Angeles LGBT Center, a 501(c)(3) organization. The Los Angeles LGBT Center can provide a letter regarding the non-profit status of the conference upon request. Sponsorship contributions are tax-deductible to the extent allowed by legal and IRS regulations. In kind, donations are considered as cash equivalents with respect to sponsorship levels.

Your sponsorship will help us to continue providing a necessary forum for the discussion of LGBTQIA healthcare issues and for building community among allied health practitioners, students, and advocates. With any donation, please include instructions and branding materials so we can best accommodate your visual and language-specific content needs. Donations can be made by check or credit card. Thank you in advance for your support.

Visit us at socallgbthealthconference.org

E-mail:

Contributions made through the LA LGBT Center are tax deductible.

Sponsorship Level / Partner / Platinum / Gold / Silver / Contributor
Donation / $2,000+ / $1,000+ / $500+ / $250+ / $100+
Branding / Company name and logo on all promotional materials, fliers, and official emails / Company name and logo on all promotional materials, fliers, and official emails
Recognition / Recognition as Partner / Recognition as Platinum Sponsor / Recognition as Silver Sponsor / Recognition as Silver Sponsor / Recognition as Contributor
Print Material & Signage / Logo on front page of program; prominent logo on all signage / Logo on all signage / Logo on all signage / Company name and logo in program / Company name and logo in program
Verbal Acknowledgment / Verbal recognition during conference opening and closing addresses / Verbal recognition during conference opening and closing addresses
Media Acknowledgment / Mention in all newscasts, media reports, and future outgoing materials; introduced as alongside event in all media correspondence
Registration Website / Prominent logo and recognition as main sponsor on website / Logo on website / Logo on website
Sponsor-Provided Promotional Gifts for Attendees / Optional / Optional / Optional

SPONSOR FORM

Our company is pleased to support the 2016 SoCal LGBTQIA Health Conference by a sponsorship grant at the level indicated below.

Sponsoring Company
Contact Name
Address
Phone / Fax
Email

Special Instructions/Notes:

Please indicate your desired sponsorship level:

[ ] Partner $2,000+ [ ] Platinum $1,000+ [ ] Gold $500+ [ ] Silver $250+ [ ] Contributor $100+

Please choose your preferred form of payment:

[ ] Check [ ] Credit Card donations through the LA LGBT Center [ ] PayPal: http://alturl.com/w3h9t

For tax-deductible donations, checks should be made payable to "LA LGBT Center" and include “California LGBTQIA Health Conference” in the memo line. If donating by credit card, please use the attached credit card charge slip from the Los Angeles LGBT Center. Mail or fax all check and credit card donations to the following address and number:

LA LGBT Center

ATTN: Finance re: California LGBTQIA Health

Conference

P.O. Box 2988

Los Angeles, CA 90078-2988

Faxed with cover letter:

ATTN: Finance re: California LGBTQIA Health

Conference

(323) 308-4119

If you have any questions or concerns, please e-mail us at .

CREDIT CARD CHARGE SLIP

Name: Constituent #

(Name as it appears on the card)

Address:

City/State/Zip:

Type of Card: □ AMEX □ VISA □ MASTERCARD Credit Card Number: CVV#

Expiration Date: Amount: $

Fund: Campaign: Appeal:

Notes:

Taken by: Date: