Eastern Pennsylvania Geriatrics Society
A professional organization dedicated to improving the health and well being of the elderly in the Delaware Valley       

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EPGS Event Sponsorship
Annual Meeting and Awards Dinner
Monday, December 3, 2018 - 6:00PM
Union League of Philadelphia


We appreciate your support of the Eastern Pennsylvania Geriatrics Society's Annual Meeting and Awards Dinner on December 3, 2018. Please fill out the form below, indicate level of sponsorship and choose to Pay Online or Mail with Check.
If you choose to pay online, you will then be taken to PAYPAL.com to complete your payment. You do not need a Paypal account, just a valid credit card.
For additional sponsorship information, please contact:
   Nancy Carpey, Director of Events - 610-812-1583 / nancy@epgeriatricssociety.org

Name of Institution  

Address  

City       State       Zip  

Contact Person  

Email       Phone      


Gold Level: $1500 - large display table (if requested) in a prominent location, 1 table for dinner with 8 guests

Silver Level: $800 - large display table (if requested) in a prominent location, 3 guests

Bronze Level: $500 - small display table (if requested), 1 guest
List of Attendees:

choose PAY ONLINE or PAY BY CHECK
       - or - Print this Page and Mail with Check
please make check payable to:
Eastern Pennsylvania Geriatrics Society
761 Sproul Rd. #194
Springfield, PA 19064
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