Sponsorship Order Form


The HIMSS New York State Chapter greatly appreciates your generosity and support as a Corporate Sponsor. Please submit the form below to begin your Sponsor Application.

After your application is submitted, a member of our team will contact you within 2 business days to process your sponsorship. 

Company Contact Information: 

  Sponsor Banner Message $1,000
  Sponsor Page On Website. $500
  Executive Level Sponsorship $3,500
  Corporate Level Sponsorship $2,500
  Associate Level Sponsorship $1,500
  Event Tier One - Premium Sponsorship. $500
  Event Tier Two - Platinum Sponsorship $375
  Event Tier Three - General Sponsorship. $200
  White Paper Inclusion On Website $250
  Monthly Newsletter $250
  Website Calendar $250
  Sponsor Product Demonstrations: One Demonstration $100
  Sponsor Product Demonstrations: Five Demonstrations. $375
  Sponsor Product Demonstrations: Ten Demonstrations. $600
  In-Person Event Sponsorship (If Available) $2,000
  Credit Card / Debit Card
  Cash / Check