2019-2020 Sponsorship Form

YES! My business or organization wants to sponsor the Oklahoma chapter of the American Student Dental Association for the 2019-2020 academic year.

We wish to reserve the following sponsorships:

Sponsorship Packages
A La Carte Sponsorships
Casino Royale
Date: Oct. 18, 2019
Loupes Fair
Date: November 8, 2019 Mini Loupes Fair: January 9, 2020 (tentative)
Vendor Fair (Fall and Spring)
Fall date: October 24, 2019 Spring date: March 12, 2020
Miles for Smiles 5K
Date: April 4, 2020
Scholarships
Payment Information
$
Method of Payment *
Make checks payable to Oklahoma ASDA c/o Amanda Tran. Mail to Oklahoma ASDA, ATTN: Amanda Tran, 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 Credit Card, an invoice shall be sent. Please note that an upcharge of 3.15% + $0.30 shall be applied to Credit Card transactions to accommodate Square transaction fees. 2) Make checks out to OU ASDA c/o Amanda Tran. Mail checks to Oklahoma ASDA, ATTN: Amanda Tran, 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.