CORPORATE SYMPOSIUM FORM Deadline: November 1, 2016

Company Information

Company Booth Number (If applicable)

Contact

Address

City State/Province Zip/Postal Code Country

Telephone E-mail Address

Onsite Contact Mobile Number E-mail Address

Bank Wire Companies may wire payment to: JP Morgan Chase Bank, NA ABA Transit Number: 071000013 10 South Dearborn St. Swift Code: CHASUS33 Chicago, IL 60603 Account Number: 4184254

Any fees associated with the wire transfer are the responsibility of the company (approximately $20 per wire transfer).

Check By sending your check to us, you authorize RSNA to convert the check into an electronic funds transfer. Please be aware that your account may be debited as soon as the same day we receive your payment.

Credit Card VISA, Master Card, American Express, Diners Club and Discover are accepted.

Payment Information

q

q

q

q I have read, understand and agree to the Corporate Symposium Guidelines. This form will be returned if the box is not checked.

Card Type Exp. Date

Card Number Security Code

Name as it appears on card

Authorized Signature

Return this form to:RSNA Corporate Relations820 Jorie Blvd.Oak Brook, IL 60523-2251Secured Fax: 1-630-571-2198

For RSNA Use Only – Please do not write in this area

X

Date Received

Approved by RSNA: Yes No

Signature of RSNA Contact Date

Room Assignment

Proposed Program (300 character limit)

CRTE162 KE

Symposium Type (Please select one) q NON-CME q CME

Corporate Symposium Information

Preferred Date and Time (AM or PM)

Title

Speaker(s)

(Continued)

RSNA CORPORATE SYMPOSIUM GUIDELINES Deadline: November 1, 2016

A corporate symposium offers a company the opportunity to conduct an educational program for professional attendees during the RSNA annual meeting at McCormick Place. CME and non-CME symposium are available.

It is the company’s responsibility to distribute these guidelines to the appropriate company personnel and/or any agents, representatives or contractors involved in planning activities at the RSNA annual meeting. The company requesting space is responsible for the actions of its employees and/or agents, and will be expected to follow all rules and guidelines outlined below.

1. A corporate symposium is strictly an educational function that includes a formal presentation or procedural instruction, conducted by a company. Medical societies and associations are not eligible to conduct a corporate symposium during the RSNA annual meeting.

2. Companies may provide CME during symposium, if administered by a third party. The third party is responsible for any disclosures and providing course attendees with information on claiming credit.

3. Corporate symposium title, description of the symposium, and speakers must be submitted to RSNA for review prior to promotion of the symposium.

4. Product and/or equipment demonstrations are allowed as long as they are educational in nature. Promotional or commercial activities of any kind are not permitted.

5. Corporate symposium are available for $25,000/symposium on a first-come, first-served basis. Fees are non-refundable and non-transferable. Payment must be sent to RSNA at the time of form submission.

6. Symposium are available:

Sunday, November 27 – Thursday, December 1: • Morning symposium: Suggested time is 8:30 – 10 am

Sponsor is limited to one symposium per timeslot

• Afternoon symposium: Suggested times are 1:30 – 3 pm or 3 pm – 4:30 pm Sponsor is limited to one symposium per timeslot

Room will be available for morning symposium from 7 am – 12 pm for set up and take down. Room will be available for afternoon symposia from 12 pm – 5 pm for set up and take down. All company equipment, literature and handouts must be removed from the room at the end of the symposium.

7. The corporate symposium fee includes a meeting room at McCormick Place equipped with LCD projector, widescreen (16:9), podium, podium microphone, and wireless internet. Companies will work with McCormick Place for room set up and additional equipment must be ordered through RSNA approved vendors and will be at the exhibitor’s expense.

8. Corporate symposium are open to all attendees. Companies may not charge a fee to attendees.

9. Speaker honoraria are allowed and will be administered by the company or third party provider. Exclusivity agreements that prohibit speakers from presenting at other RSNA courses are not allowed.

10. RSNA will promote corporate symposium in the printed and online RSNA annual meeting program under the Corporate Symposium category. The RSNA online program will be available in August and the deadline date to submit content for inclusion in the printed program is August 12, 2016.

Corporate symposium will be listed as –Title: Supported by “Company name.” Speakers and authors will be included in the abstract block.

11. Corporate symposium titles and speaker names will be listed on signage outside the classroom.

Corporate symposium will be listed as - Title: Supported by “Company name.”

12. Companies may purchase the RSNA Attendee Registration list or RSNA promotional opportunities to promote symposia. Visit RSNA.org/Promote to see available opportunities. RSNA meeting logo, marketing collateral and usage guidelines are available at http://rsna.org/Marketing-and-Promotional-Tools.

13. All corporate symposium must be held in compliance with ACCME’s Standards for Industry Support and the AMA’s Opinion on Gifts to Physicians from Industry.

14. Third-Party Organizers: Companies who choose to use a third-party organizer must submit a letter on company letterhead naming the third party as being authorized to handle planning responsibilities on the exhibitor’s behalf. Third-party organizers cannot be a medical society or association. No direct requests from third-party organizers will be considered.

15. Corporate symposium found to be in violation of these guidelines shall be immediately discontinued. This agreement is in addition to any contract for exhibit space. All terms, conditions, rules & regulations contained therein remain in full force. The company waives any rights to claims of damages arising out of enforcement of these guidelines.

RSNA CORPORATE SYMPOSIUM GUIDELINES Deadline: November 1, 2016

16. All matters and questions not covered by the above guidelines are subject to the discretion of RSNA. These RSNA guidelines may be amended at any time and all amendments shall be equally binding on all parties. In the event of any amendment or addition to these guidelines, written notice will be given by RSNA to such parties.

17. The company shall protect, indemnify, hold harmless and defend RSNA, its officers, directors, agents and employees against all such claims, liabilities, losses, damages and expenses, including reasonable attorneys’ fees and costs of litigation; provided that the foregoing shall not apply to injury, loss or damage caused by or resulting from the negligence of RSNA, its officers, directors, agents or employees.

FOR ADDITIONAL INFORMATION, CONTACT:

Jaclyn Kelly1-630-590-7793jkelly@rsna.org

IMPORTANT DEADLINESAugust 12Title and speakers due for inclusion in printed meeting program

November 7Room requirements due to McCormick Place/Vendors