WPSA 2019 Summit Sponsorship Form
Wisconsin is currently experiencing a direct care workforce shortage so severe that it is jeopardizing the health, safety and welfare of older adults and people with disabilities of all ages. As the leading statewide association of personal care and home care providers, WPSA is holding a summit on September 18, 2019 to bring together direct care providers, caregivers, consumers, policymakers and other stakeholders to discuss the path ahead. Together, we can make a plan to conquer the caregiver crisis.

Please review the sponsorship offerings below. There are a limited number of Platinum Level sponsorships available and will be granted in a first-come, first-served basis:

Sponsorship Options
I would like to sponsor the WPSA Summit as a: *
Organization Name *
Your answer
Contact Name *
Your answer
E-mail *
Your answer
Phone *
Your answer
Street Address *
Your answer
City/State/Zip
Your answer
Payment Information
Checks should be made payable to the Wisconsin Personal Services Association

and mailed to:

Melissa Smart
C/O Wisconsin Personal Services Association
139 E Wisconsin Avenue
Oconomowoc, WI 53066

Submit
Never submit passwords through Google Forms.
This form was created inside of Wisconsin Personal Services Association. Report Abuse - Terms of Service