• Become a HIMSS North Carolina Chapter Sponsor and showcase your products and services to providers throughout the state of North Carolina. NC HIMSS works to shape the healthcare industry through encouraging the use of technology and promoting public policies that will improve healthcare delivery. Please complete the form below to sign up.

• Sponsor Level*
  • Corporate ($4,500/yr)
  • Partner ($2,750/yr)
  • Conference Special Event ($8,500)
  • Conference Name Badge ($5,000)
  • Conference Track ($1,500)
  • Conference Wi-Fi ($1,500)
  • Test

• SOLD OUT

  Unfortunately this Sponsor Level has reached its maximum number of sponsors. We greatly appreciate your support and hope you will select another sponsorship level.

• Company Name*
• Company Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
• Company Phone*
  This will be the phone number to post on the site.
• Marketing Contact*
  This is the company representative we should contact regarding this sponsorship.
• Marketing eMail*
  This is the email for correspondence related to sponsorship.
• Hidden
  Marketing email
  This is the email for correspondence related to sponsorship.
• Regional Contact - to be posted on the site
  This is the contact name that will be posted on your sponsor page as your contact person.
• eMail Address - to be posted on the site*
  This is the email address that will be posted on your sponsor page.
• Website Address - to be posted on the site
  This is the website address (URL) that want linked to your sponsor page.
• Description - to be posted on the website
• Services provided by Company*
  • Consulting
  • Disaster Recovery
  • Education
  • Financial
  • Informatics
  • IT Infrastructure
  • Medical Technology
  • Publications
  • Recruiting
  • Scanners
  • Security
  • Software
  • Technology Solutions
  • Other
• Other Product / Services Description
• Company Logo
  Max. file size: 8 MB.
  Hi Resolution image (EPS, AI, or other) to create your logo image for the site and other collateral material.
• Method of Payment*
  Credit Card (PayPal)Check (by mail)
• Total Due
  $0.00

• Once you select 'Submit', you will be sent an email with details on where to send your check.

• If you have trouble with the online form, you can use the PDF version by clicking HERE.