Testing CCMC’S 2024 VIRTUAL SYMPOSIUM SPONSORSHIP APPLICATION webform

The below webform has been prepopulated with custom/random test data. When submitted, this information will still be saved and/or sent to designated recipients.

Company Name (as it should appear for sponsor recognition purposes)

Contact Name

Contact Job Title

Contact Email Address

Address

City/Town

State/Province

ZIP/Postal Code

Website

Sponsorship Selection

Sponsorship Package: $5,000

Industry-Led Session: $6,000 (Limited to two sponsors)

Symposium Website Ad: $1,000 (Limited to two sponsors)

Keynote Speaker: $2,500 (Limited to one sponsor)

Daily Wake-Up Wellness: $2,500 (Limited to one sponsor)

RULES + REGULATIONSCCMC’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 EligibilityAll 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

Please Sign

Sign above

Contact CCMCIf you have questions or need additional information, please contact ccmchq@ccmcertification.org or by phone at 856-380-6836.

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Testing CCMC’S 2024 VIRTUAL SYMPOSIUM SPONSORSHIP APPLICATION webform