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Sponsorship Form

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Texas Public Radio: (210) 614-8977 x 102 or RMI: (210) 656-6674 x 101

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Payment Type: *

Company Check Personal Check Credit Card (Please call TPR ($600) or RMI ($25/$50) with cc information Cash (must be hand-delivered to the RMI Offices)

REQUIRED: If registering as a non-profit organization, please upload your 501(c)3 determination letter here: *

Max file size: 20MB

If you are a school, civic group, support group or similar organization with charitable intent and do not have a 501(c)3, please note so below. Special consideration may be given to allow your participation at the nonprofit rate. *

TOTAL AMOUNT DUE: (Sponsorship, Registration or Program Listing Fee + Electrical Connection Fee) = *

Please add up the total fees in accordance with your registration. If you do not need a tent rental ($25) or an electrical connection ($25), please indicate the registration amount only. Thank you!

Upload Logo (required for sponsorships) *

Max file size: 20MB

Get Ten Exhibitor Charitable Option:
If you would like to pass-off your radio spots to benefit a non-profit organization, please complete the following:

Non-Profit Agency *

Contact Name *

First

Last

Email *

Phone Number *

Comment *

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Contact Information:

Exhibitor Registrations: Lea Rosenauer
Texas Public Radio: Cindy Alleman
Reaching Maximum Independence, Inc.: Melanie Cawthon

Payment must be received within 10 days of registration.

Electrical options are included under the sponsorship options.  If you are registering at the $5,000, $2,500 or $1,000, please note your need, but do not include the additional fee in your total amount due. Thank you!

Payment Options

Registration Selection: *

$25 - Half (1/2) 8ft Table - Special Non-Profit Exhibitor Option: (for organizations who have a current 501(c)3 Determination Letter) $50 - Full 6ft Table - Special Non-Profit Exhibitor Option (for organizations that have a current 501(c)3 Determination Letter) $510 - Get Ten Non-Profit Exhibitor (for organizations that have a current 501(c)3 Determination Letter and would like the get ten benefit with TPR at a 15% discount) $600 - Get Ten For-Profit Exhibitor (participants who do not have a current 501(c)3 Determination Letter) I am interested in $1,000 or above Sponsorship Level Opportunity $50 - We can not attend, but would like to purchase an annual partnership with disABILITYsa.org and be listed in the 2013 Event Resource Directory (available to for-profits and non-profits serving individuals with disabilities) $0 - We are participating as a collection drive (Wheelchairs, Glasses, Meds) and will not be exhibiting with an information booth.

Will you be providing a game or activity at your booth this year? *

Yes No

If yes, what will that game or activity be? *

Get Ten Non-Profit Exhibitor: $510

• Booth space at the event which includes a table and two chairs 
  
• A TPR “Get 10” Run of Schedule underwriting package to be scheduled between KSTX and KPAC
  
• Identification in the event program 
  
• Identification on the AccessAbility Fest website www.AccessAbilityFest.com
  
• FREE one-year membership at www.disabilitysa.org ($50 value) 
  

Mail Check to: Texas Public Radio or TPR * 8401 Datapoint Dr., Suite 800 * San Antonio, Texas 78229
To pay by credit card (VISA/MC/AMEX/DISC), submit your form and call (210) 614-8977 x 102

Get Ten Exhibitor: $600 

• Booth space at the event which includes a table and two chairs 
  
• A TPR “Get 10” Run of Schedule underwriting package to be scheduled between KSTX and KPAC
  
• Identification in the event program 
  
• Identification on the AccessAbility Fest website www.AccessAbilityFest.com
  
• FREE one-year membership at www.disabilitysa.org ($50 value) 
  

Messages on KSTX or KPAC are scheduled in conjunction with your promotional needs. Air time should be scheduled to run within six (6) months of event. Call Cindy Alleman at Texas Public Radio (210) 614-8977 for information and to schedule your spots. If you pass-off your messages to a non-profit, your business will still be recognized on air as the sponsor.

Mail Check to: Texas Public Radio or TPR * 8401 Datapoint Dr., Suite 800 * San Antonio, Texas 78229
To pay by credit card (VISA/MC/AMEX/DISC), submit your form and call (210) 614-8977 x 102

Sponsorship Level Options:  Call Cindy Alleman at TPR at 210-614-8977 for sponsorship benefits. 

• Anchor Sponsorship - $5,000
• Benefactor Sponsorship - $2,500
• Charter Sponsorship - $1,000

2013 Registration Changes: Due to space restrictions at this year's venue, nonprofit organizations will have the option to participate with a Full 6ft Table for $50 or a Half (1/2) 8ft Table for $25. 

All organizations are encouraged to have a game or activity at their table/booth for guests to enjoy.  

If Yes, we will be happy to help facilitate the rental of an electrical connection for your at $25.

Will you be in need of electricity ($25 Additional Fee)? *

Yes No

Registration Options

Special Non-profit Exhibitor Option - Full 6ft. Table: $50 

• 6’ Table & 2 Chairs (Please bring your own table covering) Tenting will NOT be provided this year. You may opt to bring your own.
• FREE partnership with disABILITYsa.org ($50 value) and FREE listing in the Event Resource Directory

Special Non-profit Exhibitor Option - Half (1/2) 8ft Table: $25 

• 4’ of table space at an 8ft. table which will be shared with another exhibitor & 1 Chair (Please bring your own table covering) Tenting will NOT be provided this year. You may opt to bring your own.
• FREE partnership with disABILITYsa.org ($50 value) and FREE listing in the Event Resource Directory

Mail Check to: RMI (Reaching Maximum Independence) (RMI is the managing partner for disABILITYsa.org) * 6336 Montgomery Drive * San Antonio, TX 78239
To pay by credit card (VISA/MC/AMEX), submit your form and call (210) 508-8429.

Early Registration Deadline: September 6th, 2013
All Exhibitors who meet the early registration deadline will be featured up front in their category of the event program.
Registration Deadline: October 4th, 2013
Registrations received after October 4th, 2013 will be considered, but will not be included in any print or online materials.  Registrations will be considered based on space availability after this deadline.

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Exhibitors are encouraged to provide a game or activity at their booth and bring Halloween Trick-or-Treats to distribute. * Door prize drawings at your booth are encouraged. * Table location is determined by Topic Area. * NO solicitations or sales are allowed at this event. * Service Animals only, no pets. * Table Cloths are not provided. * Tents will not be provided *
Cancellations received after Oct. 15th and event "No Shows" will be held liable for total amount due.

09:30am – 10:15am     Exhibitor Drop-Off Open
10:00am – 10:30am     Exhibitor & Participant Networking Reception
10:30am – 11:30am     Exhibitor Set-up
12:00pm –   5:00pm     Event

Schedule:   

Exhibitors are encouraged to provide a game, activity, trinkets or candy for trick-or-treaters who attend.  

Please visit our Exhibitor FAQ for more details on participating in AccessAbility Fest 2013.

SPECIAL NOTICE FOR HEALTH SCREENINGS & MASCOTS or ROAMING GUESTS
***If you are providing a Free Health Screening or participating as a Mascot, 
please STOP and click HERE for the correct registration form and information.***

Please give a brief description of your services: (limited to 150 characters): **Please Note: only the first 150 characters will be included in your online posting.** *

Please type your response in Word first for a CHARACTER count (with spaces) and then paste into this box. Only the first 150 characters will be copied into your online posting at accessabilityfest.com.

Please note that ONLY the first 150 characters (including spaces) of the description entered above will appear in your listing on our website.  This is regardless if it stops in the middle of a word or sentence.  Please take care to accurately count the number of characters in your submission.  Thank you!

Indicate the target market for your product/services: *

Physical Disabilities Developmental Disabilities Sensory Disabilities Mental Health General/Overall

Indicate the type of product/services you provide: (limit your selections to the best TWO options that best represent your organization's services) *

Benefits Management / Financial Planning Community Education / Public Awareness Education Employment Legal / Legislative Health & Safety Residential Options Support Services Recreation-Socialization Transportation Therapy & Rehabilitation Other

If Other, please specify or if more than one selection was made, which of the two selections would you like to be placed in at the event: *

Organization/Group/Name: *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

What years have you participated in AccessAbility Fest? (please list all years ie. 2007, 2008, 2010, etc or "None") *

URL (website): *

Facebook Page: *

Twitter Handle *

Main Attending Representative's Name *

First

Last

Representative's Email *

Promos

0

:15 on KSTX

10

:15 on KPAC

20

:25 on KSTX

8

:25 on KPAC

16

Promos

0

:15 on KSTX

15

:15 on KPAC

30

:25 on KSTX

12

:25 on KPAC

24

Promos

75+

:15 on KSTX

15

:15 on KPAC

30

:25 on KSTX

12

:25 on KPAC

24

Promos

225+

:15 on KSTX

30

:15 on KPAC

60

:25 on KSTX

24

:25 on KPAC

48