Game Night Registration I would like to... * Purchase Tickets to Game Night Sponsor a table at Game Night (includes 8 tickets) Sponsor Game Night (includes 16 tickets) Game Night - Attendance Each attendee receives two drink tickets. I would like to purchase ____ tickets. ----- One - $30 Two - $60 Four - $100 Name(s) of attendees. Game Night Table Sponsor I would like to sponsor a table at Game Night. $300 Company/Organization as you wish it to appear on promotional materials: Names of the guest(s) who will be present at the event: Please attach your company/organization's logo. Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Game Night - Title Sponsor The title sponsor will receive exclusive and prominent logo placement on all materials and signage, tickets for 16 attendees to the event, company-branded napkins and verbal recognition throughout the event. Your signature support will also provide you with 2 banner ads in Ohio AAP Today e-Newsletters (reaching 3,000 pediatricians) in September and a total of up to 6 complementary registrations to Annual Meeting and the Save the Day for Ohio’s Children Luncheon on September along with an exhibit table in prime location I would like to be the title sponsor at Game Night. $2500 Company/Organization as you wish it to appear on promotional materials: Names of the guest(s) who will be present at the event: Please attach your company/organization's logo. Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Personal Information & Payment Name and Email * First Name Last Name * Last Name (and Credentials) Email * Email Street Address * Street Address 2 City * State * Ohio Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone * I would like to make an additional donation of ________ to the Ohio AAP Foundation. Total: If you are human, leave this field blank.