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 - $30Two - $60Four - $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 * OhioAlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming 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.