All sponsorship benefits afford the opportunity for branded messaging or marketing material for event attendees and acknowledgment in the UCAOA annual report

2017 SPONSORSHIP OPPORTUNITIES

Pillar Sponsor $25,000

• Presenting sponsor and premium placement dinner seating for 3 tables (seating for 24)

• Special recognition during Pre-Celebration reception and opportunity to show branded video during event

• Invitation to VIP reception with urgent care industry leaders• Company name in event press release announcing award winners• Speaking opportunity for senior level executive during event• Company listing in celebration invitation on website, event program, on-

site signage and PowerPoint on scrolling slides during dinner• Complimentary four-color, full-page (5.5”w x 8.5” h) tribute ad in the

printed event program• Special recognition and logo placement as a Pillar Sponsor on UCAOA/

UCF website for 4 months• Sponsorship recognition and special message by event emcee

Premier Sponsor $10,000

• Premium placement dinner seating for 2 tables (seating for 16) and special table signage

• Ability to include company name and logo in celebration video• Company name in event press release announcing award winners• Company listing in celebration invitation on website, event program, on-

site signage and PowerPoint on scrolling slides during dinner• Complimentary four-color, full-page (5.5”w x 8.5” h) tribute ad in the

printed event program• Special recognition and logo placement as a Premier Sponsor on

UCAOA/UCF website for 2 months• Sponsorship recognition and special message by event emcee

Benefactor Sponsor $5,000

• Premium placement dinner seating for 1 table (seating for 8) and special table signage

• Company listing in celebration invitation on website, event program, on-site signage and PowerPoint on scrolling slides during dinner

• Complimentary four-color, full-page (5.5”w x 8.25”h) tribute ad in the printed event program

• Special recognition and logo placement as a Benefactor Sponsor on UCAOA/UCF website

Patron Sponsor $3,000

• Premium placement dinner seating for 1 table (seating for 8) and special table signage

• Complimentary four-color, half-page (5.5”w x 4.25”h) tribute ad in the printed event program

• Special recognition and logo placement as a Patron Sponsor in printed materials including printed program and signage

• Special recognition and logo placement as a Patron Sponsor on UCAOA/UCF website

Contributions to Urgent Care Foundation, a 501(c)3 organization, are deductible for federal income tax purposes less the cost of goods and services received. You will receive a receipt following the event detailing the tax-deductible portion of your donation and/or sponsorship.

Reserve your table or ticket by March 15 to take advantage of early pricing:Reserved tables seating 8: $1,800

Individual ticket: $190

Tuesday, May 2

Gaylord National Resort & Convention Center

National Harbor, Maryland

Doors open at 6:30 pmDinner & Awards Presentation 7-9pm

Dancing 9-11pm

YOU ARE CORDIALLY INVITED TO THE

2nd Annual

Urgent Care Foundation Celebration 2017:

PILLARS OF OUR COMMUNITIES

Tuesday, May 2

Gaylord National Resort & Convention Center

National Harbor, Maryland

A special evening of dinner, dancing and recognition for the distinguished practitioners, professionals and thought leaders in our industry.

Urgent Care FoundationCelebration 2017:

PILLARS OF OUR COMMUNITIES

Urgent Care Foundation Celebration 2017:

PILLARS OF OUR COMMUNITIES Tuesday, May 2, 2017

Individual Ticket Order Form

PLEASE PRINT FULL NAME

STREET ADDRESS

CITY STATE ZIP CODE

TELEPHONE NUMBER

EMAIL ADDRESS

If you are registered for the UCAOA Urgent Care Convention & Expo, please provide your registration number ___________________

Early Individual Ticket Order Deadline:March 15, 2017

Tickets Quantity Price Total

On or before March 15, 2017 _______ $190 $_________After March 15, 2017 _______ $210 $_________Total Tickets _______ $_________

Payment Method:

Check (Return with check made payable to the Urgent Care Foundation. No refunds within the 72-hour time period preceding the function.)

American Express Visa MasterCard

CARD NUMBER EXP. DATE

SIGNATURE

If you already have registered for the Urgent Care Convention & Expo, you may purchase your tickets online at: ucaoa.org /17celebration

You will receive a confirmation via email. Tickets can be picked upat the Urgent Care Convention & Expo registration at the Gaylord National Resort & Convention Center.

If you are not registered for the Urgent Care Convention & Expo, please send this order form to: Delores Yates Urgent Care Association of America 387 Shuman Blvd, Suite 235W Naperville, IL 60563

Be a part of an historic event and join us for the 2nd annual Foundation Celebration!

This special evening is dedicated to highlighting and recognizing exceptional achievement and the finest leadership, excellence and commitment to the urgent care industry as well as the patients and communities we serve.

Cocktails and silent auction at 6:30pm, followed by dinner, awards presentation and dancing.

Cocktail attire. Valet and self-parking options. Special room rates available.

A Foundation Celebration…

The Urgent Care Association of America (UCAOA) established the Urgent Care Foundation as the singular, nationally recognized entity devoted to enhancing the role, purpose and awareness of urgent care medicine by inspiring and contributing to research, education, clinical and practice management leadership, and innovation in new and emerging healthcare delivery models.

As a separate 501(c)3 organization, the Foundation is closely affiliated with UCAOA. Proceeds from the Foundation Celebration will be used to support training and coordination of care provided at urgent care centers during major disasters, advance thought leadership, scientific symposiums, and scholarships within the industry. Your support and engagement is greatly appreciated as we launch this important initiative for the urgent care industry.

Reserve your table or ticket by March 15 to take advantage

of early pricing:Reserved tables seating 8: $1,800

Individual ticket: $190

For details, see enclosed registration forms, contact UCAOA at 630-544-6534,

or visit ucaoa.org /17celebration.

For more information contact Kim Youngblood at 630-544-6534 or kyoungblood@ucaoa.org

Help us conserve costs and promote being green!

Use your own stamp and envelope to mail in your form to UCAOA or visit ucaoa.org/17Celebration to complete

your ticket, table or sponsorship purchases.

Sponsorship/Tribute Page Order Form

PLEASE PRINT FULL NAME

TELEPHONE NUMBER

EMAIL ADDRESS

Sponsorships

Pillar Sponsor ($25,000) Premier Sponsor ($10,000) Benefactor Sponsor ($5,000) Patron Sponsor ($3,000)

Reserved Table SeatingPriority placement dinner seating for 1 table (seating for 8) and special table signage

Reserved Table $1,800 Early Price – Deadline March 15, 2017

Reserved Table $2,000 After March 15, 2017

Reserved Tables can be purchased online at ucaoa.org/17celebration

Individual Tributes or Ads

Four Color, Full Page (5.5”w x 8.5”h) $500

Customized Sponsorship Packages are available

DeadlinesFebruary 28 Signed sponsor agreement and electronic logo file

received by UCAOA/UCFMarch 10 Text/graphic files for complimentary tribute received

by UCAOA/UCFApril 7 Names of attendees submitted to UCAOA/UCFApril 14 Marketing and/or branded material shipped to

UCAOA/UCF

Return to: Delores Yates Urgent Care Association of America387 Shuman Blvd, Suite 235WNaperville, IL 60563Phone 331-544-3750