Well-Being Academy Sponsorship Form



Well-Being Academy Sponsorship Sign-Up Form
Thank you for your interest in being a sponsor for OACB's Well-Being Academy, held at the Quest Conference Center in Westerville! Please complete all fields below.

Questions should be directed to lconrath@oacbdd.org.

Billing Contact Information
Organization name
Is your organization an OACB affiliate?
Billing contact name
Billing contact address
City
State
Zip
Billing contact phone
Billing contact email
	(Confirmation will be sent here for our records.)

Sponsorship Level
Which sponsorship level would you like?
If you would like to sponsor lunch, what session do you want?
	January 11	January 12
	February 1	February 2
	March 1	March 2
	April 12	April 13
	May 3	May 4
	August 16	August 17
	September 13	September 14
	October 4	October 5
	November 15	November 16
	December TBD	December TBD

Logo Information
Premiere and Supporting Partners are eligible to have their logo on Well-Being Academy materials. To submit your organization's logo, please email Lora Morrison at lmorrison@oacbdd.org. OACB is not responsible for poor print quality resulting from low-resolution artwork.

- denotes required fields

Mailing address:
P.O. Box 16310
Columbus, OH 43216

Billing Contact Information