Available Sponsorships

2009 Spring Conference Cruise

March 15-22

Aboard the Norwegian Spirit

Welcome Reception........................................................................ ..Sponsorship $ 2,500

Sunday, March 15

Coffee Breaks......................................................................................Sponsorship $ 600

MAFP Syllabus ..................................................................................Sponsorship $500

Includes an ad in the syllabus that is given to each attendee.

Sponsor Commitment Form

Company Name: __________________________________________________               

Address:_________________________________________________________               

City/State/Zip:___________________________                                                                     

Phone: __________________ Fax: ________________  Email:                                         

Contact Representative:____________________________________________                

Submission of this signed form to the MAFP constitutes your commitment to serve as a sponsor for (list):__________________________________________                           

and your agreement to pay the sponsor fee of $_______________.

Check One:_______ Payment Enclosed

                   _______ Payment to follow by mail no later than February 15, 2009

Signature:________________________________________________________

Title:________________________________ Date:________________________

Please sign and return this form (with payment indicated above) to:

Mississippi Academy of Family Physicians

133 Executive Drive, Suite E

Madison, MS  39110

601-853-3302 ¡ñ FAX 601-853-3002

(MAFP does not accept credit cards)