2018-2019 Sponsorship Form

YES! My business or organization wants to sponsor the Oklahoma chapter of the American Student Dental Association for the 2018-2019 academic year.

We wish to reserve the following sponsorships:

Sponsorship Packages
A La Carte Sponsorships
Casino Royale
Open Wide Golf Tournament
Loupes Fair
Vendor Fair (Fall and Spring)
Miles for Smiles 5K
Logo Sponsorships
Logo on Website
Ad in Journal Publication
Logo in Newsletter
Scholarships
Payment Information
$
Method of Payment *
Make checks payable to Oklahoma ASDA c/o Dylan Droege. Mail to Oklahoma ASDA, ATTN: Brittany Hand, 1201 N Stonewall Ave, Oklahoma City, OK 73117. Please note that an upcharge of 3.15% + $0.30 shall be applied to PAYPAL and CREDIT CARD transactions. Payments via CHECK or VENMO do not incur additional fees.
Contact Information
Representative Contact *
Representative Contact
Address *
Address
Office Phone
Office Phone
Mobile Phone
Mobile Phone
Agreement Terms
Please read the following before submission of this form.
Agreement Terms *
1) If the method of payment selected is PayPal or Credit Card, an invoice shall be sent. Please note that an upcharge of 2.9% + $0.30 shall be applied to PayPal or Credit Card transactions to accommodate PayPal/Stripe fees. 2) Make checks out to OU ASDA c/o Dylan Droege. Mail checks to Oklahoma ASDA, ATTN: Brittany Hand, 1201 N Stonewall Ave, Oklahoma City, OK 73117. 3) Send Venmo payments to @oklahomaasda. 4) Additional registration details shall be requested at a later date, dependent upon selected events.
Date *
Date

We sincerely thank you for your interest in sponsoring our organization.