If you would prefer to complete your registration via mail or fax, or if you would like to receive an invoice, please use this form.

Table Sponsorships:


Special Underwriter Recognition, Company Logo on Event Web Site & Digital Journal Ad


Special Benefactor Recognition, Company Logo on Event Web Site & Digital Journal Ad


Special Recognition, Company Logo on Event Web Site & Digital Journal Ad


Special Recognition, Company Logo on Event Web Site & Digital Journal Ad


Company Logo on Event Web Site & Digital Journal Ad

Non-Table Sponsorships:

$10,000 Welcome Sponsorship, Exclusive:

Two Vertical Banners with Company Logo, Two Dinner Tickets, Recognition from the Stage, Digital Ad

$7,500 Printed Dinner Program Sponsorships:

Full-Page Ad on Inside Front Cover or Inside Back Cover, Two Dinner Tickets, Digital Ad

$6,500 Dinner Sponsors:

Multiple Branded Signs in Dining Area, Two Dinner Tickets

$6,000 Music Sponsorship:

Signage on easel by Trio in Dining Room

$5,500 Reception Bar Linens:

Dinner Cloth on 1 of 3 Bars with Company Logo, Digital Ad

$5,000 Audio Visual Sponsorship, Exclusive:

Company Signage by Audio-Visual Table in Dining Room, Recognition from the Stage, Digital Ad

$4,500 Reception Sponsors:

Multiple Branded Signs in Reception Area, Digital Ad

$4,000 Photography Sponsorship, Exclusive:

Company Name and Logo on Medicare Rights Center Event Web Site with Posted Photos, Recognition from the Stage, Digital Ad

$3,000 Reception Napkin Sponsorships:

Company Logo on Napkins Placed on 3 Bars and Passed with Hors d’oeuvres

$2,500 Cocktail Stirrers with Company Logo:

Stirrers Placed on Three Bars

Journal Ads:


Please send digital journal ads to: events@medicarerights.org. All ads will be presented in a slideshow at the dinner and on the event web site. Ads must be a high-resolution file. The deadline is October 11th.

Individual Tickets:

Event Contribution:

Your total registration fee is: $0



The Medicare Rights Center is a nonprofit organization under Internal Revenue Code Section 501(c)(3), federal tax ID #13-350-5372. Donations to Medicare Rights Center are tax-deductible to the full extent by law. The fair market value of the dinner and cocktail reception is $248 per person.