Nueces County Medical Society Annual Installation Dinner Tuesday, December 13, 2022, Art Museum of South Texas Presented by Texas Medical Liability Trust Texas Medical Association Insurance Trust Individual Sponsor $300 Table Sponsor $1,500 Presenting Sponsor $2,500 Please select the level of sponsorship you would like to commit to: VIP Table of 10 with premier seating, 10 copies of the NCMS History of Medicine and prominent logo placement at the event. VIP photo opportunity with TMA and NCMS presidents. Program recognition and listing in NCMS newsletter. Table of 8 with 2 copies of the NCMS History of Medicine and table recognition and program recognition. 1 seat at a table of 10, program recognition. Organization/Physician name: ___________________________________________________________________________ Contact name: ________________________________________ Title __________________________________________ Address:__________________________________________________________ City: ______________________________ Zip Code: _____________ Phone: __________________________________ Email: ______________________________________________________________________________________________ Name to appear in program/table sign: ________________________________________________________________

Nueces County Medical Society 1000 Morgan Ave Corpus Christi, TX 78404 Email: [email protected] Fax: 361-884-5442 Nueces County Medical Society Annual Installation Dinner Tuesday, December 13, 2022 Individual Sponsor $300 Table Sponsor $1,500 Presenting Sponsor $2,500 Please select the level of sponsorship you would like to commit to: Card number: ____________________________________________________ Exp: ________________________ Name on card: _________________________________________________________________________________ Signature: ____________________________________________ You will receive confirmation of sponsorship Payment Form Check enclosed Credit Card