TENNESSEE

2014

AUGUST 6-8, 2014

NASHVILLE, TENNESSEE

ANNUALCONVENTION

PARTNERSHIPPLATINUM

PARTNERSHIPGOLD SILVER

PARTNERSHIP

PIATN 2014 COMPANYPartnership Program

BRONZEPARTNERSHIP

Marketing ✔ Sponsor of the PIA newsletter, plus a spotlight of your

company in an issue, featuring logo and link to company website. –Exclusive Platinum Perk

✔ Platinum Partnership recognition on PIA website ✔ Company logo recognition in PIA of Tennessee

magazine–Exclusive Platinum Perk ✔ Company profile spotlight in Professional Insurance

Agents magazine–Exclusive Platinum Perk ✔ Company recognition on PIA Mobile App

–Exclusive Platinum Perk ✔ Company logo and hyperlink on PIA website ✔ 6 company email promotions sent to PIA members ✔ 1-page company promotion placed in new member kits ✔ 20% discount on magazine advertising rates

PIA Government & Federal Affairs ✔ Exclusive Sponsor of PIA hosted Legislative Roundtables

across the state

PIA Partnership Perks ✔ Access to A.M. Best Monthly State Filing Reports ✔ Access to PIA Membership & Company Partnership

Directory ✔ Exclusive PIA Discounts available on office supplies

through Office Max ✔ Exclusive PIA Discounts available on HP computers

PIA Convention ✔ Complimentary exhibit booth at Trade Show

–Exclusive Platinum Perk ✔ Priority selection of exhibit booth location ✔ Company logo projected throughout convention

recognizing Platinum partners–Exclusive Platinum Perk ✔ Platinum Partners highlighted at the Partnership

Reception–Exclusive Platinum Perk ✔ 50% Discount on ALL additional full registrations ✔ Platinum Partner recognition displayed on Exhibit Booth ✔ Partnership Recognition on Name Badge ✔ Partnership level identified in Convention Program

PIA Sports Marketing Program ✔ FedEx St. Jude Classic –Exclusive Platinum Perk

✫ 2 tickets to PIA hosted hospitality event on Round 1 and/or Round 2 of the FedEx St. Jude Classic in Memphis.

✫ Day Long Hospitality - full bar, lunch, appetizers ✫ Prime Golf Viewing from the Pavilion on the 18th

fairway. ✫ Opportunity to purchase tickets for entertaining

✔ Vanderbilt Athletics ✫ Tennessee vs. Vanderbilt Football Game - Fall 2014

✔ Scoreboard Recognition during the game ✔ 2 tickets to the game ✔ Invitation to PIA hosted pre-game

tailgate party ✔ Company recognition at pre-game

tailgate party ✔ Game program

✔ Banner advertising on Tennessee and Vanderbilt athletic web sites–Exclusive Platinum Perk

Platinum Partnership Cost: $5,000

PLATINUMPARTNERSHIP

PIATN 2014 COMPANYPartnership Program

Company Recognition on Vanderbilt and Tennessee Sports websites–Exclusive Platinum Perk

Platinum Partners receive a complimentary Exhibit Booth and Speaking opportunity at 2014 PIA Convention

TENNESSEE

2014

AUGUST 6-8, 2014

NASHVILLE, TENNESSEE

ANNUALCONVENTION

Marketing ✔ Gold Partnership recognition on PIA website ✔ Company name hyperlink on PIA website ✔ Gold Partnership recognition in monthly

PIA newsletter ✔ Gold Partnership listing of company name in

Professional Insurance Agents magazine ✔ 10% discount on magazine advertising rates ✔ 4 company email promotions sent to PIA members

PIA Education ✔ Sponsor of CPIA classroom seminars (3 annually)

–Exclusive Gold Perk

PIA Partnership Perks ✔ Access to A.M. Best Monthly State Filing Reports ✔ Access to PIA Membership & Company Partnership

Directory ✔ Exclusive PIA Discounts available on office supplies

through Office Max ✔ Exclusive PIA Discounts available on HP computers

PIA Convention ✔ 25% discount on exhibit booth at Trade Show, which

includes a Complimentary Full Registration ✔ 50% discount on ALL Additional Full registrations ✔ Gold Partner recognition displayed on Exhibit Booth ✔ Partnership Recognition on Name Badge ✔ Partnership level identified in Convention Program

PIA Sports Marketing Program ✔ Fully catered Hospitality Event at the Tennessee vs.

Vanderbilt football game, Fall 2014 in Nashville ✔ Recognition and introduction of company

personnel at hospitality event ✔ Company name on signage at hospitality event ✔ 2 complimentary tickets, plus opportunity to

purchase tickets at discounted price. ✔ Game Program ✔ Opportunity to purchase tickets to FedEx

St. Jude Classic

Gold Partnership Cost: $3,000

GOLDPARTNERSHIP

PIATN 2014 COMPANYPartnership Program

Company email promotions sent to PIA members

Marketing ✔ Silver Partnership recognition on PIA website ✔ Link to Silver Partnership recognition on PIA website in

each monthly newsletter ✔ Silver Partnership recognition in Professional Insurance

Agents magazine ✔ 5% discount on magazine advertising rates ✔ 2 company email promotions sent to PIA members

PIA Education ✔ Sponsor of PIA classroom C.E. seminars

– Exclusive Silver Perk

PIA Partnership Perks ✔ Access to A.M. Best Monthly State Filing Reports ✔ Access to PIA Membership & Company Partnership

Directory ✔ Exclusive PIA Discounts available on office supplies

through Office Max ✔ Exclusive PIA Discounts available on HP computers

PIA Convention & Trade Show ✔ 15% discount on exhibit booth at Trade Show ✔ 50% Discount on ALL additional full registrations ✔ Silver Partner recognition displayed on Exhibit Booth ✔ Partnership Recognition on Name Badge ✔ Partnership level identified in Convention Program

PIA Sports Marketing Program ✔ Fully catered Hospitality Event at a Vanderbilt vs. Tennessee

Football Game, Fall 2014 ✔ 1 complimentary game ticket, plus game program ✔ Recognition and introduction of company presence at

hospitality event ✔ Company name on signage at hospitality event ✔ Opportunity to purchase tickets to to entertain agents

and clients.

Silver Partnership Cost: $1,500

Marketing ✔ Bronze Partnership recognition on PIA website ✔ Link to Bronze Partnership recognition on

PIA website in each monthly newsletter ✔ Bronze Partnership recognition in Professional Insurance

Agents magazine

PIA Convention & Trade Show ✔ 10% discount on exhibit booth at Trade Show ✔ 50% Discount on ALL additional full registrations ✔ Bronze Partner recognition displayed on Exhibit Booth ✔ Partnership Recognition on Name Badge ✔ Partnership level identified in Convention Program

PIA Sports Marketing Program ✔ Bronze Partners can purchase tickets to Vanderbilt

football game and FedEx St. Jude Classic at the PIA discounted price

Bronze Partnership Cost: $500

PIATN 2014 COMPANYPartnership Program

PIATN 2014 COMPANYPartnership Program

SILVERPARTNERSHIP

BRONZEPARTNERSHIP

Partnership recognition in Professional Insurance Agents magazine

COMPANY INFORMATION Company Name:_______________________________________________________________________________________ Mailing Address: ____________________________________ Street Address: _____________________________________ City:_____________________________ State:_________ Zip:________________________________ Phone:_________________________________ Fax: _____________________________________ Website address: ____________________________________ Home Office Contact: ______________________________ Contact’s email address:_____________________________

CONTACT INFORMATION (Photocopy for additional contact names. Contacts receive PIA newsletter, magazine, etc.) 1. Primary Contact: ___________________________________________ Designations________________________ Position: _________________________________ Email address:____________________________ Local Mailing Address: _______________________________________________________________________________ City:_________________________________ State:_________ Zip:______________________________ Office Phone & Ext.: _________________________ Cell phone: ______________________________

2. Add’t Contact: __________________________________________ Designations______________________________ Position: _________________________________ Email address:____________________________ Local Mailing Address: _______________________________________________________________________________ City:_________________________________ State:_________ Zip:______________________________ Office Phone & Ext.: _________________________ Cell phone: ______________________________

3. Add’t Contact: __________________________________________ Designations______________________________ Position: _________________________________ Email address:____________________________ Local Mailing Address: _______________________________________________________________________________ City:_________________________________ State:_________ Zip:______________________________ Office Phone & Ext.: _________________________ Cell phone: ______________________________ PAYMENT □ Check, payable to PIA of Tennessee. Charge: □ VISA □ MasterCard □ AM EX Card Number:_______________________________________________ Expiration __________________________ Name on Card:_______________________________________________________________________________________ Billing Address: ______________________________________________________________________________________

Return To: Mail: PIA of Tennessee, 504 Autumn Springs Court, Suite A-2, Franklin, TN 37067.

Email to: Pam Cass at pcass@piatn.com. Fax: 615-771-3456

If Your Company is a First-time Partner, Please Include a Company Logo (file format — high resolution pdf, jpeg, tiff or bitmap)

PIATN 2014 Company Partnership □ Platinum $ 5,000 □ Gold $ 3,000 □ Silver $ 1,500 □ Bronze $ 500

Due Date

January 15, 2014

PLEASE PRINT FORM TO FILL OUT