2017 Joint Scientific Conference Exhibitor Agreement


Washington State Dermatology Association and Oregon Dermatology Society 2017 Joint Dermatology Meeting

August 11-13, 2017
Sunriver Resort
Sunriver, OR

Please complete the form below to exhibit at the 2017 Joint Dermatology

Or

Maximize Your Presence …
Take Advantage of these Exclusive Support Opportunities!
2017 Joint Dermatology Meeting Packages Include The Following:

EXCLUSIVE SUPPORTER OPPORTUNITIES AVAILABLE:

GOLD SUPPORTER - $7,000 (each)

RECEPTION – Friday Evening
DINNER – Saturday Evening

Have your company name be seen by supporting the dinner or reception.

  • Company name and logo displayed on signage related to and during event.
  • Registration for Two Company Representatives
  • Conference Brochure Print Acknowledgement
  • E-Syllabus Print Acknowledgement
  • Podium Verbal Recognition
  • Websites – WSDA and ODS / Acknowledgement
  • Signage Supporter List

SILVER SUPPORTER $5,000 (each)

BREAKFAST – Saturday Morning - Sold!
BREAKFAST – Saturday Morning

Have your company name be seen by supporting a breakfast.

  • Company name and logo displayed on signage related to and during event.
  • E-Syllabus Print Acknowledgement
  • Podium Verbal Recognition
  • Websites – WSDA and ODS / Acknowledgement
  • Signage Supporter List

BRONZE SUPPORTER $3,000 (each)

COFFEE BREAK – Friday Afternoon
COFFEE BREAK – Saturday Morning
COFFEE BREAK – Sunday Morning

Have your company name be seen by supporting a coffee break.

  • Company name and logo displayed on signage related to and during event.
  • E-Syllabus Print Acknowledgement
  • Podium Verbal Recognition
  • Websites – WSDA and ODS / Acknowledgement

Please Note:  Support Package does not include exhibit space. Exhibitor booths sold separately.

Company Information

Company Name:*
Company Website:

Primary Contact Information

Primary Contact Name:*
Primary Contact Title:
Primary Contact Address:
Primary Contact Phone:
-
Primary Contact E-mail:*

Primary Booth Representative Contact

(This information will be published and distributed to attendees)

Primary Booth Representative:
Primary Booth Rep Name:
Primary Booth Rep Title:
Primary Booth Rep Address:
Primary Booth Rep Phone:
-
Primary Booth Rep Email:

Representatives Staffing Your Booth

Rep 1:
Rep 2:

Two booth representatives are included with your exhibit package.  Extra booth reps are $150 each.

Rep 3:
Rep 4:

Exhibit Space Information

Exhibit space will be assigned based on level of sponsorship, exhibit location purchased, followed by first come basis.

Product/Service to be Displayed:
Please indicate companies, if any, you desire NOT to be located adjacent to (i.e. competitor)

Exhibitor Registration

Exhibit Type:*

The Friday Evening Reception and Saturday Dinner are complementary to exhibitors. Adult guests are welcome at $60/per person. Guests 12 years and younger are free.

Number of exhibitor guests @ $60/per person:
Number of exhibitor guest(s) 12 years and younger:

Optional Events

We’re offering golf ($160) and kayaking ($85) Saturday from 12:00-5:00pm.  Lunch is included for both events.

Golf - Number attending (including self):
Kayaking - Number attending (including self):

Payment

Total:
Please verify:

Upon completing the form and clicking "submit," if any funds are due to complete the registration, you will be directed to PayPal to make the payment. A PayPal account is not needed to make a payment.

CANCELLATION POLICY: We must receive written notification of your cancellation. A $50 processing fee will be deducted from the registration refund. No refunds will be issued after August 1, 2017.

INQUIRIES: Contact the WSDA Office at 206-956-3635, or call toll free from Washington, 1-800-552-0612, ext. 3018, or send emails to admin@washingtonderm.org.