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Thank you for your interest in the ADA Premier Sponsor Program. Premier sponsors are recognized throughout their sponsorship year. If you are a considering a Platinum or Gold sponsorship and would like your banner displayed at an event or show artwork must be submitted at least 45 days prior to the show or event. Thank you!

Premier Sponsor Application

Physical Address

Mailing Address if Different

Sponsorship Levels - Please check one
Platinum ($1,000+)
Gold ($500 - $999)
Silver ($250 - $499)

Pay by Credit Card Now:

If you would like to pay by credit card or Paypal now please complete this section entering the amount you wish to sponsor for current year.
$1,000
$500
$250

Please Invoice Me:

Please enter the amount you wish to sponsor below and we will send you an invoice via email. You will then have the option of paying by credit card or sending in a check. Remittance address is provided on Invoice.

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