New Mexico Pediatric Society 33rd Wylder Lecture Series Sponsor & Exhibitor Information

June 11 & 12, 2011 Sheraton Albuquerque Uptown

The New Mexico Pediatric Society (NMPS) is pleased

to bring another CME opportunity to pediatric

healthcare practitioners in New Mexico and the

greater southwest. On behalf of our President, Dr. Ben

Hoffman, and our Education Committee’s leadership

team, Drs Maggie English, Stephanie Nevarez-

Fernandez, Kristine Pleacher and CNP Amy Davis,

please accept this invitation to exhibit and support

this important pediatric conference.

A Sponsorship Package includes:

Premium booth space if received by April 1st

Electronic Attendee List in advance

Your web link and logo on the NMPS website

as our CME partner in 2011 (Cottonwood and

Juniper Sponsors only)

Events you may wish to sponsor:

Unrestricted Educational Grants:

Cottonwood $4,000

Juniper $2,000

Elm $1,250

Crocus $800 ($250 for nonprofits)

You may also wish to sponsor:

Name badges/lanyards: $1,250

Includes printed company logo on badges, logo lanyard

NMPS attendee souvenir gift: $1,750

Includes printed company logo on gift (TBD by NMPS)

$4,000 “Cottonwood Sponsor” Exclusive listing as sponsor of the Attendee Luncheon

or Senior Dinner (age 55+) Saturday, June 11th

One premium 6’ table-top exhibit space

Company logo in the Wylder Lectures program

Company logo on sponsor signage

Web link and company logo on the home page and

education page of our new website until February 1, 2012

Opportunity to place information/giveaways in attendee

registration packet.

$2,000 “Juniper Sponsor” Official listing as sponsor of an Attendee Breakfast or the

Quality Improvement Showcase (Saturday cocktail hour)

One premium 6’ table-top exhibit space

Company logo in the Wylder Lectures program

Company recognition on table top signage

Web link and company logo on the education page of our

new website until February 1, 2012

$1,250 “Elm Sponsor” Official listing as a Refreshment Break Sponsor

One 6’ table-top exhibit space

Listing recognizing your support in the Wylder Lectures

program

Company recognition on table top signage

$800 “Crocus Exhibitor” ($250 for nonprofits) One 6 ‘ table-top exhibit space

Listing recognizing your support in the Wylder Lectures

program

Information Attendees: Primary care pediatricians, nurse practitioners, and physician assistants from New Mexico and the greater southwest are among those expected to attend. Anticipated attendance is 90. Location: Sheraton Albuquerque Uptown 2600 Louisiana Blvd. NE Albuquerque, NM 87110 Tel: 505/881-0000 www.sheratonuptown.com Lodging Special Rate: $99.00 - (plus applicable taxes) To receive this special rate please call reservations toll free at 1-800-325-3535 and reference the “New Mexico Pediatric Society – 2011 Wylder Lectures.” Parking: Complimentary self parking. Exhibit Hours: Saturday, June 11: 7:30 AM to 3:30 PM Sunday, June 12: 7:00 AM to 12:30 PM Set Up: Saturday, June 11: 7:00 AM

Move Out: Sunday, June 12: after 10:30 AM and before 1:00 PM

Exhibit Space Includes a 6’x2’ skirted table and two chairs. All exhibits must be table top displays unless prior approval has been obtained by conference management. Up to two exhibitor representatives are included in all meeting and meal functions except for the Saturday night senior dinner. Attendee Lists Only sponsors are eligible to receive an electronic list of attendees prior to the conference to promote visits to their booth. All exhibitors will receive a hard copy of an attendee list at the conference.

Booth Assignments Assignments will occur on Friday, May 20, 2011 and will be based on sponsorship priority and on first come basis.

The NM Pediatric Society 33rd Wylder Lecture Series June 11 & 12, 2011

Mail or Fax your Response Form by

Friday, February 25, 2011 to:

New Mexico Pediatric Society 625 Silver St. S.W. Suite 324

Albuquerque, NM 87102

Fax: 505/925-7601

Tax ID # 85‐0293405

QUESTIONS?

Call Anne Hanika Ortiz 505/925-7613

Exhibit Guidelines

The NMPS reserves the right to restrict exhibits, without refund. Distribution of literature, samples, etc., in the exhibit area by firms that are not participating as paid exhibitors is strictly prohibited. An electrical connection will be provided if requested. Audio Visual equipment must be operated so that the noise does not interfere with other exhibitors. Exhibitors are responsible for shipping, storage, and installation of exhibit materials, and all costs involved thereby. The NMPS and Sheraton Uptown do not guarantee against theft, vandalism or otherwise. It is expressly understood that exhibitors shall indemnify and hold harmless the NMPS, Melissa G. Rael & Associates, and Sheraton Uptown of all liability (damage or accident) that might ensue from any cause in connection with transfer, installation, maintenance or removal of exhibits, or in display of exhibits. Cancellations received before May 20, 2011 will be refunded with a 20% service charge on the net cost of the original space. Table space not occupied by the close of the exhibit installation period will be forfeited by the exhibitor, and this space may be resold, reassigned or used by the conference management. Use of the name “NMPS” or that of any officer of said Chapter, in recommendation of a product or services, is expressly prohibited. Conference Management Questions?

Contact Melissa Rael, Meeting Manager at

505/508-2999 or Melissa@mgr-events.com.

NM Pediatric Society 33rd Annual Wylder Lecture Series June 11 & 12, 2011

Mail or Fax your Response Form by

Friday, February 25, 2011 to:

New Mexico Pediatric Society 625 Silver St. S.W. Suite 324

Albuquerque, NM 87102

Fax: 505/925-7601

Tax ID # 85-0293405

Fax pages 1 & 2 to Anne Hanika Ortiz @ 505/925-7601

YES! We will support!

Cottonwood $4,000 Preferred: (circle) Saturday luncheon (all attendees) OR senior dinner (55+) Juniper $2,000 Preferred: (circle) Attendee breakfast Saturday OR Sunday OR Sunday QI Showcase Elm $1,250 Preferred: (circle) Saturday AM break OR Saturday PM break OR Sunday AM break Crocus Table-Top $800 Nonprofit Table-Top $250

Please complete as you would like it to appear in our print materials. (PLEASE PRINT)

Official Contact Person

Title

Organization

Address

City/State/Zip

Phone Fax

Email

Cell

Booth Identification Sign Same as organization name Other

Organization Description: Please provide a two or three sentence description.

Organization/Company Logo: Please email a company logo in GIF or JPEG format to Melissa@mgr-events.com by

February 25, 2011.

Booth Workers: Please provide names of the two representatives that will be at your booth.

Name

Title

Name

Title

Two representatives are included in the exhibit package. Additional representatives may be authorized if requested.

RESERVATION FORM The 33rd Annual Wylder Lectures Series

EXHIBITOR Page 1 SPONSOR

Continued on next page

Electricity

Yes, I will need electricity ($25.00 additional fee). No, I will not need electricity.

Payment Information

Sponsor Type (use amount from page 1) ________________________ Fee $______________ Electricity Fee $25.00 $______________

TOTAL AMOUNT DUE $ _________

Payment Method

Check enclosed payable to the New Mexico Pediatric Society, Tax ID 85-0293405 Please send Invoice to:

Address:

City/State/Zip:

Credit Card Visa MasterCard

Card Number: Expiration date:

Cardholder name: ___________

Billing Address: Zip Code:

Signature of Cardholder:

Agreement:

I have read and agree to Exhibitor guidelines: __________________________________________

(Signature)

Fax pages 1 & 2 to Anne Hanika Ortiz @ 505/925-7601

RESERVATION FORM 2011 NM Pediatric Society Wylder Lectures Series

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