Event Sponsorship Expression of Interest Form
  1. The following section criteria will be used to assess your expression of interest. Please refer to them before you submit your expression of interest form. PLEASE NOTE: this is for your information only, not a required field on the expression of interest form.








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  2. Conference/Event(*)
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  3. Name(*)
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  4. Address(*)
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  5. Email Address
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  6. Are you a current financial member of HCCA?(*)


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  7. What is your interest in this event?(*)
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    Up to 200 words.
  8. How are the topics covered at the event relevant to your current consumer representation and participation as a member of HCCA? (*)
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    Up to 200 words.
  9. Do you have any prior knowledge of these topics? (*)
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    Up to 200 words.
  10. If you are selected to attend this event on behalf of HCCA, how would you share the information presented at the event to allow others the opportunity to learn from your experience?(*)
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    Up to 200 words.
  11. Are you able to self-fund the registration and other costs incurred whilst attending this event? Please note this will not exclude you from applying for sponsorship, but may be taken into consideration if we receive a number of applications.
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    Up to 200 words.