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CCMC’S 2024 VIRTUAL SYMPOSIUM SPONSORSHIP APPLICATION
Company Name (as it should appear for sponsor recognition purposes)
Contact Name
Contact Job Title
Contact Email Address
Address
Address
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP/Postal Code
Website
Sponsorship Selection
Sponsorship Package: $5,000
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Industry-Led Session: $6,000 (Limited to two sponsors)
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Symposium Website Ad: $1,000 (Limited to two sponsors)
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Keynote Speaker: $2,500 (Limited to one sponsor)
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Daily Wake-Up Wellness: $2,500 (Limited to one sponsor)
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RULES + REGULATIONS
CCMC’s Virtual Symposium is intended to serve the best interests of attendees, presenters, and sponsors and to give notice to actual and potential sponsors of governing rules and regulations. As a participant at a Commission event (virtual and/or face-to-face), you agree to adhere to the *CCMC’s Symposium Participant Rules of Conduct and applicable *CCMC and/or *CDMS Codes of Professional Conduct. These codes and the rules of conduct outline the Commission’s expectations for all those who participate in a CCMC event or function, whether certified or not. All participants should aim to create safe and positive experiences for all those involved in the Commission’s events. (See Sponsorship Prospectus for the *CCMC Codes and Rules of Conduct Websites)
Sponsorship Eligibility
All products and services must be germane to the study and practice of case management, disability management, training and/or education. CCMC retains the sole authority to determine the eligibility of any company and/or its product. CCMC reserves the right to refuse applications of organizations not meeting standard requirements or expectations. CCMC reserves the right to curtail or to close sponsorship opportunities and/or related deliverables, wholly or in part, that reflect unfavorably on the character and the purpose of the Symposium. This applies to digital content, literature, advertising novelties, souvenirs, conduct of persons, etc.
Terms of Payment
Full payment must be made by credit card only. (Please do not email credit card information.) After successfully submitting the application, you will receive an email to access your CCMC account. The email will link to the Sponsorship Invoice where you can provide credit card information. Sponsorships will not be confirmed without a completed application and all appropriate fees.
Cancellations must be submitted to CCMC in writing. The date of receipt of sponsor’s written notice of cancellation will be the official cancellation date. If sponsorship is cancelled on or before July 31, 2024, all monies paid minus 50% of the total sponsorship fee will be returned to the sponsor. Any sponsor who cancels after July 31, 2024 will be responsible for the total cost and no refunds for cancellations will be provided.
Authority
I am an authorized representative of the company named above with full authority to sign and deliver this application. The company listed on this application agrees to comply with the payment policies and requirements, rules, terms, conditions, and regulations associated with CCMC’s Virtual Symposium sponsorship.
Authorized Name / Title
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Contact CCMC
If you have questions or need additional information, please contact ccmchq@ccmcertification.org or by phone at 856-380-6836.
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GENERAL INFORMATION