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Institute for Health Care Governance

Board Self Assessments
Appalachian Health Leadership Forum

2025 Appalachian Health Leadership Forum Advertising Opportunities

The Appalachian Health Leadership Forum will be held on April 26 & 27, 2024 at Stonewall Resort & Conference Center, Roanoke, WV.

Advertising opportunities are available for this event. To advertise in the Forum program, please complete the form below.

2025 AHLF - Advertising Forms

Contact Information *

Contact Information

First

Last

Organization *

Address

City

State/Province

Zip/Postal

Phone *

Fax

Email *

Payment Information

Advertising Level

$1,500 - Full page outside back cover

$1,250 - Full page inside front or back covers

$1,000 - Full page internal

$750 - Half page

$500 - Quarter page

Sponsorship Level

$10,000 - Cardinal Sponsorship Level

$5,000 - Black Bear Sponsorship Level

$1,500 - Session Sponsors

$1,000 - Maple Leaf Sponsorship Level

$500 - Vendor's Gallery

Total Payment

Maple Leaf Sponsorship

Payment Method: *

Credit Card (via PayPal) *Please note: there will be no additional fees assessed when paying through PayPal and you do not need a PayPal account to pay this way.

Check (via Mail)

Would you like to enter your complimentary Forum registrations now? (if applicable, based on sponsorship package)

Yes

Complimentary Registrant Information

Please complete the registration information for each registrant who will be attending the Forum using the complimentary registration included in your sponsorship package.

Click “Add” to add additional registrants. Enter Name and Organization information as it should appear on the registrant’s name tag.

Additional paid Forum participants can be submitted with the Registration form.

Full Name *

Full Name

First

Last

Organization *

Mobile Phone

Email *

Attending as a

Address *

Address

City

State/Province

Zip/Postal

Continuing Education Units requested for attendance at this event:

Add Remove

Acknowledgement - Cancellation Policy: *

I understand that by signing below I am guaranteeing payment for Sponsorship, at the Level selected above, of the 2024 Appalachian Health Leadership Forum being held April 26 & 27, 2024 at Stonewall Resort & Conference Center, Roanoke, West Virginia. I understand that any cancellations received after April 11, 2024 will NOT result in a refund.

To submit an advertisement now, use the File Upload feature below, or email it to Jill Clemente by March 20, 2024.

File Upload

Maximum file size: 516MB

If you are human, leave this field blank.

For information about placing an ad, please contact us at 304-397-4071 or Jill.Clemente@wvruralhealth.org.