PNWD 88th Annual Scientific Conference Exhibitor Registration

Pacific Northwest Dermatological 88th Annual Scientific Conference
October 7-9, 2022
Suncadia Resort
Cle Elum, WA

Please complete the form below to exhibit at the PNWD 88th Annual Scientific Conference

Or
Maximize Your Presence … Take Advantage of these Exclusive Support Opportunities!
PNWD 88th Annual Scientific Conference Meeting Packages Include The Following:

Verbal recognition at the podium
Complimentary exhibit space
Print acknowledgement of support on posters, the PNWD e-syllabus, and WSDA website
Electronic list of attendees prior to the conference to promote visits to your booth
Four vendor ticket packages with sponsorship ribbons and access to the Saturday Night Dinner

EXCLUSIVE SUPPORTER OPPORTUNITIES AVAILABLE:

GOLD SUPPORTER - $7,000 (each)
WELCOME RECEPTION(purchased)
SATURDAY DINNER
WIFI SPONSOR

SILVER SUPPORTER $5,000

BRONZE SUPPORTER $4,000 (each)
COFFEE BREAK – Friday(purchased)
COFFEE BREAK – Saturday(purchased)
COFFEE BREAK – Sunday

Hidden

Administrative

Unique ID

Company Name

Hidden

Booth Number

Website

Primary Contact Information

Primary Contact Name*

First Last Credentials

Primary Contact Title

Primary Contact Address*

Street Address Address Line 2 City State ZIP Code

Primary Contact Phone

Primary Contact Email*

Exhibitor Registration

Exhibit Type*

Exhibitor Booth - $3500 - $3,500.00
Bronze Support - $4000 - $4,000.00
Silver Support - $5000 - $5,000.00
Gold Support - $7000 - $7,000.00

Quantity of Booths*

Please enter a number from 1 to 3.

Gold Support Options*

Welcome Reception (1 Available)
Saturday Dinner (1 Available)
WiFi Sponsor (1 Available)

Silver Support Options*

Saturday Breakfast (1 Available)
Sunday Breakfast (1 Available)

Bronze Support Options*

There are no options available for this field.

Two booth representatives are included with your exhibit package. Extra booth reps are $250 each.

Optional - Extra Booth Reps

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)

Primary Booth Representative Contact

(This information will be published and distributed to attendees)

Primary Booth Representative

Information is the same as Primary Contact

Primary Booth Rep Name*

First Last Crendentials

Primary Booth Rep Title

Primary Booth Rep Address

Street Address Address Line 2 City State ZIP Code

Primary Booth Rep Phone

Primary Booth Rep Email*

Representatives Staffing Your Booth

Rep #2 Name

First Last

Rep #3 Name

First Last

Rep #4 Name

First Last

The Welcome Reception and Family Dinner

Optional - Adult Guests - $60/Person

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

Payment

TOTAL

$0.00

Payment Type*

Credit Card
Check
Invoice

Check Number

Check Payment Date

CREDIT CARD

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Home of the Pacific Northwest Dermatological Conference

Home of the Pacific Northwest Dermatological Conference

Administrative

Primary Contact Information

Exhibitor Registration

Exhibit Space Information

Primary Booth Representative Contact

Representatives Staffing Your Booth

The Welcome Reception and Family Dinner

Payment