Co-Sponsorship
Thank you for your sponsorship of our Summit!  Please fill in the following fields in order to co-sponsor as an organization or endorse as an individual.  In return for your support, we will be honored to thank you for your support at our opening and closing plenaries, in our print materials, and on our website and electronic communications.  For more information contact us at conference@sakhi.org or at 212-714-9153 ext 114.
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Organization Name as Co-Sponsor
Enter the name of the sponsoring organization
Individual Name as Co-Sponsor
Individual affiliation
If sponsoring as an individual, please enter any organization or institution that you are affiliated with for identification purposes only
Mailing Address *
Please enter your street address, city, state and zip.
Email Address *
Phone Number *
If you are an Organizational sponsor, please identify a contact person
I would like to make a financial contribution to help defray conference related costs and to support scholarships (sliding scale $25-$2500) *
please enter the dollar amount that you are pledging for your donation here
Please indicate how you will be sending us your contribution *
Required
Any questions, comments or concerns?  Please let us know!
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