Sponsorship Form

The following sponsorship items are on a first-come, first-served basis. Additional benefits of sponsoring (i.e. complimentary exhibit booth space and registrations) are determined by level of sponsorship - Platinum, Gold, Silver and Bronze - and can be found listed under sponsorship items.

GLAD Welcome/Registration Booth $1,000
AM Break $750
Continental Breakfast $1,000
 
Sessions:
  Keynote Speaker: Jim Gilmore (partial sponsorship) $5,000
 (Please Note: Two partial sponsorships available for this item.)
First partial sponsor: SMART I.T. Services, Inc.
Second partial sponsor: Pioneer State Mutual
  Comparative Rater Session $700
 Capital Rating
Afternoon Sessions: Five Ways Technology Can Increase Profitability and User Group Meetings $2,900

  Luncheon Agents Assistance Corporation

Other Sponsorships
GLAD Name Badges (your logo imprinted) $1,100
GLAD Signs $850
  GLAD Program $650
 PFS-Premium Financing
GLAD Tote Bags (your logo imprinted) $2,000
USB Memory Drives with your Logo (preloaded with GLAD presentation material and company ad) $5,000
Total
General Sponsorship
(please note: will not register in Total box of this form)
Current general sponsors:
  • Progressive ($3,000)
  • SMART I.T. Services, Inc. ($1,000)
  • Fremont Insurance Company ($500)
  • Westfield Insurance ($500)
  • Accident Fund Insurance Company of America ($500)
 $

Platinum: Sponsorship(s) totaling $3,500+

  • Exhibit Booth in premium area plus four complimentary registrations

  • Full page ad in program

  • Company name listed on large poster as Platinum Sponsor

  • Name listed in program as Platinum Sponsor

  • Name badge ribbons for all company representatives noting Platinum Sponsorship

  • Recognition of sponsorship during morning session

Gold: Sponsorship(s) totaling $2,500 - $3,499

  • Exhibit Booth in premium area plus two complimentary registrations

  • Half page ad in program

  • Company name listed on large poster as Gold Sponsor

  • Name listed in program as Gold Sponsor

  • Name badge ribbons for all company representatives noting Gold Sponsorship

  • Recognition of sponsorship during morning session

Silver: Sponsorship(s) totaling $1,500 - $2,499

  • Third page ad in program

  • Company name listed on large poster as Silver Sponsor

  • Name listed in program as Silver Sponsor

  • Name badge ribbons for all company representatives noting Silver Sponsorship
  • Recognition of sponsorship during morning session

Bronze: Sponsorship(s) totaling $500 - $1,499
  • Company name listed on large poster as Bronze Sponsor
  • Name listed in program as Bronze Sponsor
  • Name badge ribbons for all company representatives noting Bronze Sponsorship
  • Recognition of sponsorship during morning session

Please fill in the information below.
* = required information

Sponsoring
Company		 *
Phone   *
Address *
City * State Zip
Contact Name *
Email

*Please note: Exclusive sponsorships are given priority over partial sponsorships. 


Comments:
Please charge my: Visa MasterCard
American Express
Discover
Card Number
Name on Card
Expiration date

You may register in one of two ways:

1. over MAIA's secure server.

2. Print this form out and fax or mail it to MAIA, P.O. Box 80620, Lansing, MI 48908-0620

If you have any questions, please contact Wayne Joubert at (517) 323-9473, email: wjoubert@michagent.org or Jennifer Burnett at same number, email: jburnett@michagent.org.