PNWD 85th Annual Scientific Conference Exhibitor Registration

Pacific Northwest Dermatological 85th Annual Scientific Conference
July 19-22, 2018
The Coeur d'Alene
Coeur d'Alene, Idaho

Please complete the form below to exhibit at the PNWD 85th Annual Scientific Conference Or Maximize Your Presence … Take Advantage of these Exclusive Support Opportunities! PNWD 85th Annual Scientific Conference Meeting Packages Include The Following:
Conference Supporters Receive…
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 Access to the Saturday Night Dinner

Please complete the form below to exhibit at the PNWD 85th Annual Scientific Conference

Or
Maximize Your Presence … Take Advantage of these Exclusive Support Opportunities! PNWD 85th Annual Scientific Conference Meeting Packages Include The Following:

EXCLUSIVE SUPPORTER OPPORTUNITIES AVAILABLE:

GOLD SUPPORTER - $7,000 (each)
WELCOME RECEPTION
SATURDAY FAMILY DINNER
Have your company name be seen by supporting the dinner or reception.

SILVER SUPPORTER $5,000 (each)
BREAKFAST – Saturday Morning
BREAKFAST – Sunday Morning
Have your company name be seen by supporting a breakfast.

BRONZE SUPPORTER $4,000 (each)
COFFEE BREAK – Friday
COFFEE BREAK – Saturday
COFFEE BREAK – Sunday
Have your company name be seen by supporting a coffee break.

Company Name

Website

Primary Contact Information

Primary Contact Name

First Last

Primary Contact Title

Primary Contact Address

Street Address Address Line 2 City State ZIP Code

Primary Contact Phone

Primary Contact Email*

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

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 # 1 Name

First Last

Rep #2 Name

First Last

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

Rep #3 Name

First Last

Rep #4 Name

First Last

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

Exhibitor Booth - $3000
Gold Support (Friday Reception) - $7000
Gold Support (Saturday Dinner) - $7000
Silver Support (Sunday Breakfast) - $5000
Bronze Support (Friday Afternoon Coffee Break) - $4000
Bronze Support (Saturday Morning Coffee Break) - $4000
Bronze Support (Sunday Morning Coffee Break) - $4000

Optional - Extra Booth Reps

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.

Optional - Adult Guests - $60/Person

TOTAL

$0.00

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

Primary Contact Information

Primary Booth Representative Contact

Representatives Staffing Your Booth

Exhibit Space Information

Exhibitor Registration