EXHIBIT/SPONSORSHIP APPLICATION
The Georgia Conference on Children and Families (GCCF)
Hilton Atlanta Marietta Hotel & Conference Center
November 13-15, 2012


Organization Name:_________________________________________________________________________________________________________

Contact Person:____________________________________________________________________________________________________________

Mailing Address:____________________________________________________________________________________________________________

Phone: _________________________________Fax:_____________________________

Email: ___________________________________Website:________________________

Name of agency representative attending conference:______________________________________________________________________________

Exhibit/Sponsorship Opportunities:

            _____ Corporate Sponsorship - $5,000
            _____ Platinum Sponsorship - $3,500        
            _____ Gold Sponsorship - $2,500
            _____ Silver Sponsorship  - $1,500            
            _____ Bronze Sponsorship  - $800
            _____ Exhibit Table - $600
            _____ Host - $200 
            (check selection)       

Please be aware that conference organizers are not responsible for lost or stolen exhibit material—you will need to secure valuables when your table is not attended. Also, exhibit fees include the exhibit space and two chairs. You may make special arrangements if you require electricity or an active phone line, or if you need to ship your exhibit materials to the hotel in advance. There will be extra charges for these services. Please email office@georgiachild.org or call 404.572.6170 for more information.


You may fax or email your completed application and follow up with payment, or mail application with check payable to GAHSC at:

The Georgia Conference on Children and Families
c/o 57 Forsyth Street NW, #13C
Atlanta, GA 30303

Phone: (404) 572-6170 Fax: (404) 572-6171
Email: office@georgiachild.org