Smokey Mountain Conference for Addiction Professionals
Sponsorship Registration Form
Conference Dates:  April 20-22, 2022

*Sponsorships include a table in the exhibition area.
Agency Name:_____________________________________________________
Mailing Address:___________________________________________________
City/State/Zip:_____________________________________________________
Day Phone:  (        )___________________ Fax:  (       )____________________
Email Address:____________________________________________________
Special Accommodations/Needs:______________________________________
Please check one of the following:
___ Diamond Level Sponsorship  	$1500  (includes table and 10 - one day registrations) 
___ Platinum	Level Sponsorship	$1000  (includes table and 2 registrations)
___ Gold Level Sponsorship		$750  (includes table and 1 registration)
___ Silver Level Sponsorship	  	$500    (includes table)
___ Bronze Level Sponsorship	  	$350    (Sponsors Coffee for a morning or afternoon)
Total Amount:   _____________

Make Check or Money Order payable to ETAADAC or
If you email the completed sponsorship form to sutter.julie@gmail.com she will send you an invoice that allows you to pay on your end.

Please mail or fax the completed form and payment to: 		If you have any questions, please feel free to contact:
	ETAADAC Treasure- LaDonna Booker			         Lmccarter714@gmail.com
	PO Box 20836					                   
	Knoxville, Tennessee, 37940