The document is a sponsorship form for a Silver Sponsorship of the Cincinnati Bar Association's 28th Annual Employee Benefits Conference being held on June 11-12, 2015. It provides details on the $1,000 sponsorship which includes one complimentary seminar registration, booth space at the event, recognition in marketing materials, and a list of attendee names. The form requests the sponsor's contact information and payment details to confirm the Silver Sponsorship.

1. To confirm your Silver Sponsorship, please complete the form below and return it to Erin Emerson via email, mail or fax.
Silver Sponsor Commitment: $1,000 (Includes one complimentary seminar and luncheon reservation.Additional
luncheon reservations may be made for $30 each.)
Contact Name:__________________________________ Organization Name: _______________________________
Address:_______________________________________ City____________________ State_____ Zip___________
Phone No.:_____________________________________ E-mail: ________________________________________
Name of Representative Attending Seminar: __________________________________________________________
Do you need access to electricity? q Do you need internet access? q
If you plan to have give-aways, please list:______________________________________________________________
Please make ___ additional lunch reservations for my organization ($30 each).
Enclosed is my check in the amount of $ made payable to the Cincinnati Bar Association.
Please charge my credit card the amount of $ q Visa q MasterCard q Discover q Am. Express
Card Number________________________________________ Expiration Date__________________________
Cardholder Signature_________________________________________________________________________
Erin Emerson, Cincinnati Bar Association, 225 E. Sixth St., 2nd Floor, Cincinnati, OH 45202
elemerson@cincybar.org Fax: (513) 381-0528 Phone: (513) 699-4019
On June 11, 2015 the CBA’s Employee Benefits Committee continues its annual tradition of hosting a top-notch seminar
for employee benefits professionals. This year’s program is expected to draw more than 125 attendees.
We would like to offer you the opportunity to reach this audience by participating as a Silver Sponsor for the program.
Silver Sponsor benefits include:
• Recognition on the program brochure circulated to approximately 4,000 attorneys
• One complimentary registration for the event
• Access to approximately 125 conference attendees, recognition from podium and on event signage and
PowerPoint displays
• Complimentary booth space at event (six-foot, skirted table) and opportunity to prominently display your
marketing materials
• List of the program attendees’ names and mailing addresses following the event
Silver Sponsorship
28th Annual Cincinnati
Employee Benefits Conference
Thursday, June 11 & Friday, June 12, 2015
Embassy Suites Cincinnati - RiverCenter, 10 East RiverCenter Blvd., Covington, Kentucky 41011