2018 Annual Conference Sponsor and Exhibitor Packages

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1 2018 Annual Conference Sponsor and Exhibitor Packages

2 Table of Contents President s Letter 2 The National Association of Hispanic Nurses 3 Conference Sponsorship Package Details 4 Item Sponsorship Details 9 Exhibitor Booth Information 11 Exhibitor Agreement 13 Exhibitor Hall Floor Plan 15 Purchase Information 16 Registration and Payment Information Annual Conference Sponsor and Exhibitor Packages 1

3 Dear Partner, Thank you for considering a sponsorship with NAHN. Support from partners like you allows us to build a cadre of highly qualified Latino nurses and expand our impact on Latino health. As you know, NAHN is the only nursing organization that focuses on Latino nurses. We have 44 chapters across 24 states and as an organization we are committed to promoting safe, quality health care delivery to Latino communities. In addition, we generally serve as a center of excellence for our members providing industry model practices and a means for collaboration to advance the educational, mentorship, professional and leadership opportunities for Latino nurses. For these reasons, corporations, academic institutions, and strategic allies find benefit in attending our conference, purchasing exhibit space and/or sponsor events during NAHN s Annual Conference because, in addition to providing critical support toward fulfilling NAHN s mission, sponsorship is a great way to educate and help shape the views of members in regards to advocacy, policy and healthcare delivery. Anabell Castro-Thompson, President We look forward to working with you on a shared mission to improve the quality of Latino health while supporting the nurses who provide their care. I am looking forward to greeting you at the 2018 NAHN Conference. Anabell Castro-Thompson, MSN, APRN, ANP-C, FAAN, President 2018 Annual Conference Sponsor and Exhibitor Packages 2

4 WELCOME! BIENVENIDOS! In its 43rd year, the National Association of Hispanic Nurses (NAHN) Annual Conference will convene more than 450 nurses, physicians, nurse educators, researchers, clinicians, case managers, healthcare innovators, and students, and is the only nursing association meeting dedicated to exploring healthcare issues affecting the Hispanic population and proposing potential solutions. In alignment with the mission of the association, this year s conference is centered around the transformation of Latino Health Care: Advancing Equity, Diversity, and Inclusivity. The NAHN Annual Conference is the perfect platform for your company to make new contacts, increase brand awareness and promote your company s initiatives! Through NAHN s exhibitor and sponsor opportunities, you will expand the reach of your company s products and services among healthcare s most influential practitioners: nursing professionals, researchers, clinicians, and students. WHO WE ARE: This year s conference will be held: Hilton Cleveland Downtown 100 Lakeside Avenue East Cleveland, OH The National Association of Hispanic Nurses provides the voice for nearly 2000 member nurses across the United States. NAHN is devoted to promoting safe, quality health care delivery to Hispanic communities and individuals. NAHN is committed to representing in voice and action Hispanic nurses in the United States. NAHN promotes the recruitment and retention of Hispanic students in nursing education programs with the intention of increasing the number of bilingual and bicultural nurses providing culturally sensitive nursing care to Hispanic consumers and communities. We welcome you to join us as we lead the way in Latino Health Care: Advancing Equity, Diversity, and Inclusivity. In this packet you ll find many different opportunities to showcase your company please look through and let us know if you don t see what you re looking for. Should you have any questions or suggestions, we welcome you to contact us. We look forward to working with you! Thank you! Gracias! The National Association of Hispanic Nurses 2018 Annual Conference Sponsor and Exhibitor Packages 3

5 Conference Sponsorship Package Details EXECUTIVE PACKAGES PRESENTING SPONSOR (Exclusive) $60,000 Up to an 8x20 booth in prime location Full-page conference guide ad Inside Front Cover Five complimentary conference passes One (1) Table at the President s gala (Seats 10 people In prime location) Highlighted company logo on all signage, webpage and printed materials Logo recognition at Gala Social media recognition (1 post on Facebook & Twitter & non-exclusive post conference LinkedIn recognition) Tote bag insert (materials to be approved prior to shipment, at sponsor s cost) Post-conference attendee mailing list (excludes phone, fax and information) One (1) exclusive pre-conference welcome via NAHN Newsletter One (1) exclusive pre-conference and post-conference (Thank you) Three (3) month banner ad on Annual Conference main webpage Complimentary Plenary Session (NAHN to approve content) DIAMOND SPONSOR (Exclusive) $45,000 8x10 booth in prime location Full-page Conference guide ad Inside Back Cover Four complimentary conference passes One (1) Table at the President s Gala (Seats 10 people) Highlighted company logo on all signage, webpage and printed materials Social media recognition (1 non-exclusive pre-conference post on Facebook, Twitter & LinkedIn) Tote bag insert (materials to be approved prior to shipment, at sponsor s cost) Post-conference attendee mailing list (excludes phone, fax and information) One (1) non-exclusive distribution One-month banner ad on NAHN main webpage Complimentary Plenary Session (NAHN to approve content) 2018 Annual Conference Sponsor and Exhibitor Packages 4

6 Conference Sponsorship Package Details (continued) RUBY SPONSOR (Non-Exclusive) $30,000 8x10 booth Full-page Conference guide ad Three (3) complimentary conference passes One (1) Table at the President s Gala (Seats 10 people) Highlighted company logo on all signage, webpage and printed materials Social media recognition (1 non-exclusive pre-conference post on Facebook, Twitter & LinkedIn) Tote bag insert (materials to be approved prior to shipment, at sponsor s cost) Post-conference attendee mailing list (excludes phone, fax and information) One (1) non-exclusive distribution Speaking opportunity to open the Breakfast Business Exchange (3-5 minutes) Complimentary Plenary Session (NAHN to approve content) if available EMERALD SPONSOR (Non-Exclusive) $20,000 8x10 booth Full-page Conference guide ad Three (3) complimentary conference passes One (1) Table at the President s Gala (Seats 10 people) Highlighted company logo on all signage, webpage and printed materials Social media recognition (1 non-exclusive pre-conference post on Facebook, Twitter & LinkedIn) Tote bag insert (materials to be approved prior to shipment, at sponsor s cost) Post-conference attendee mailing list (excludes phone, fax and information) One (1) non-exclusive distribution Speaking opportunity to open the Breakfast Business Exchange (3-5 minutes) Complimentary Plenary Session (NAHN to approve content) if available Annual Conference Sponsor and Exhibitor Packages 5

7 Conference Sponsorship Package Details (continued) EVENT SPONSORSHIPS GALA EVENT (Exclusive) $35,000 One (1) Reserved table at the President s Gala (10 Seats in prime location) Speaking opportunity at the Gala (5 minutes) Full page ad in Gala Program Full page Conference guide ad A gift of your choosing at each place setting (materials produced at sponsor s cost) Two (2) complimentary conference passes Post-conference attendee mailing list (excludes phone, fax and information) Your company logo prominently displayed at the Gala Sponsor logo on webpage, onsite signage and Conference Guide Social media recognition (1 non-exclusive pre-conference post on Facebook, Twitter & LinkedIn) One (1) non-exclusive distribution WELCOME RECEPTION (Exclusive) $17,500 Full page Conference guide ad Four (4) tickets to the President s Gala Two (2) complimentary conference passes Post-conference attendee mailing list (excludes phone, fax and information) PRE-GALA RECEPTION (Exclusive) $12,500 Logo visibility at Reception Sponsor logo on webpage, onsite signage and Conference Guide Social media recognition (1 non-exclusive pre-conference post on Facebook, Twitter & LinkedIn) One (1) non-exclusive distribution Speaking opportunity (3-5 minutes) to open the Welcome Reception Opportunity to welcome the audience during Reception (3-5 minutes) One (1) complimentary tote bag insert Two (2) complimentary conference passes Two (2) tickets to the President s Gala Highlighted sponsor recognition on all signage, webpage printed materials and during Reception Social media recognition (1 non-exclusive pre-conference post on Facebook, Twitter & LinkedIn) 2018 Annual Conference Sponsor and Exhibitor Packages 6

8 Conference Sponsorship Package Details (continued) LUNCH SPONSOR (LIMIT OF 2 PER DAY) $7,500 Half-page Conference guide ad One (1) complimentary conference pass Logo visibility at Lunch Sponsor logo on webpage and Conference Guide Post-conference attendee mailing list (excludes phone, fax and information) Introduction by your company representative at Lunch opening PRESIDENTS RECEPTION (Exclusive) $7,500 Exclusive Sponsor logo on reception signage Half-page Conference guide ad Four (4) tickets to the President s Gala Lunch with the President and President-Elect during the conference Sponsor listed on webpage, onsite signage and Conference Guide Post-conference attendee mailing list (excludes phone, fax and information) CONFERENCE APP NEW IN 2018! (Exclusive) $7,000 Static Banner Ad in Conference App used by approximately 400 attendees Go Live approximately 14 + weeks before event Special announcement for Sponsor recognition before and during event Sponsor logo on webpage GALA ENTERTAINMENT (Exclusive) $6,000 Two (2) complimentary conference passes Post-conference attendee mailing list (excludes phone, fax and information) Half-page ad in Conference guide Two (2) tickets to the President s Gala Two (2) complimentary conference passes Sponsor recognition during event (signage and special announcement) Sponsor logo on webpage, onsite signage, and Conference Guide Half-page ad in Gala Program and Half-page ad in Conference guide BREAKFAST SPONSOR (Limit of 3) $5,000 Half-page Conference guide ad One (1) complimentary full conference pass Logo visibility at Breakfast Sponsor listed on webpage and Conference Guide Post-conference attendee mailing list (excludes phone, fax and information) Introduction by your company representative at Breakfast opening 2018 Annual Conference Sponsor and Exhibitor Packages 7

9 Conference Sponsorship Package Details (continued) PRE-CONFERENCE WORKSHOP SPONSOR $5,000 $10,000 Contact Donna Blake-Weems for details phone: COMMUNITY SERVICE SPONSOR $6,000 Sponsor logo on all T-shirts provided to all volunteers Sponsor listed on webpage, onsite signage and Conference Guide Exclusive sponsor recognition during community service project Introduction of your company by your representative at the event Half-page Conference guide ad Post-conference attendee mailing list (excludes phone, fax and information) PRESIDENT S COUNCIL MEETING & LUNCH SPONSOR (Exclusive) $5,000 Exclusive Sponsor logo on meeting signage Sponsor listed on webpage, event signage, and Conference Guide GALA TABLE SPONSOR $3,000 Post-conference attendee mailing list (excludes phone, fax and information) Sponsor materials placed on chairs (prior to meeting) Half-page Conference guide ad One (1) Reserved table at the President s Gala (10 Seats in prime location) Ad in Gala Program Conference guide ad Two (2) complimentary conference passes Your company logo prominently displayed at the Gala Social media recognition (1 non-exclusive pre-conference post on Facebook, Twitter & LinkedIn) BREAK SPONSOR $1,500 Quarter-page Conference guide ad Sponsor listed on webpage, break signage and Conference Guide Post-Conference attendee mailing list (excludes phone, fax and information) 2018 Annual Conference Sponsor and Exhibitor Packages 8

10 Item Sponsorship Details Tote Bag Sponsor (Limit of 2 one available) $6,000 Sponsor logo on the Conference tote bags (logo exclusive on one side) Tote bag insert (materials produced at sponsor s cost) Sponsor listed on webpage, onsite signage, and Conference Guide Post-conference attendee mailing list (excludes phone, fax and information) Badge Holder Sponsor (Exclusive) $4,250 Sponsor logo on name badges distributed to attendees Sponsor recognition on webpage, onsite signage, and in Conference Guide Gala Floral Sponsor (Exclusive) $3,500 Two (2) tickets to the President s Gala Half-page ad in Gala Program One (1) complimentary conference pass Sponsor recognition during event (signage and special announcement) Sponsor logo on webpage, onsite signage and Conference Guide Flash Drive Sponsor (Exclusive) $3,500 Sponsor logo and materials on all Conference flash drives given to attendees (NAHN to approve content) Sponsor listed on webpage, onsite signage and Conference Guide Post-conference attendee mailing list (excludes phone, fax and information) Water Bottle Sponsor (Exclusive) $3,500 Sponsor logo on each water bottle distributed to attendees Sponsor recognition on webpage, onsite signage and in Conference Guide 2018 Annual Conference Sponsor and Exhibitor Packages 9

11 Item Sponsorship Details (continued) Conference Guide Sponsor (Exclusive) $3,000 Sponsor logo on all Conference Guides Sponsor recognition on webpage, onsite signage and Conference Guide Complimentary half page, full color ad in conference program Notebook & Pen (Exclusive) $2,500 Sponsor logo on name badges distributed to attendees Sponsor recognition on webpage, onsite signage, and in Conference Guide Blanket Sponsor (Limit of 2) $1,500 Sponsor logo on each blanket loaned to attendees (in meeting rooms) Total of approximately 100 available in various rooms Sponsor recognition on webpage, onsite signage and in Conference Guide Leftover blankets will be provided to sponsor at Conference end Tote Bag Inserts $1,500 Materials inserted into each Conference Tote Bag (materials provided by sponsor must be approved prior to printing & shipping, all at sponsor s cost) Magnets $750 Materials inserted into each Conference Tote Bag (materials provided by sponsor must be approved prior to printing & shipping, all at sponsor s cost) 2018 Annual Conference Sponsor and Exhibitor Packages 10

12 Exhibitor Booth Information Exhibitors will be sent confirmation packages with their booth assignments upon completion of registration and payment. Exhibitor Schedule Tuesday, July 31st 1:00 PM 4:00 PM Exhibit installation must be completed by 4:00 PM on Tuesday, July 31, Setup hours are subject to change. Exhibitors will be notified if a change in hours is necessary. Exhibitor Hours/Days Wednesday, August 1 Thursday, August 2 12:30 PM 2:30 PM 9:30 AM 11:30 AM BINGO! To increase engagement and excitement in the hall, attendees will participate in BINGO! Use this as an opportunity to network with the attendees who seek to win a $350 gift card by completing their entire card. Your booth number will be featured on either Wednesday or Thursday. Look for a sample at your booth which will indicate your location on the Bingo card. Exhibitor Dismantling Thursday, August 2nd 11:30 AM 3:00 PM Do not dismantle or remove any part of your exhibit prior to show closing. Exhibit dismantle and move-out must be completed by 3:00 PM on Thursday, August 2, NAHN and The Official Show Decorator may, without incurring any liability or damage or loss, dismantle any property or any exhibitor who has failed to move out at the sole expense of the exhibitor. Dismantle hours are subject to change. Exhibitors will be notified if a change in hours is necessary Annual Conference Sponsor and Exhibitor Packages 11

13 Exhibitor Booth Information All Exhibit Booth and Table Packages include: Two full Conference passes (excluding Gala) Third or more exhibit representatives are $150 each. Standard pipe and drape One 6 draped table, two chairs, 7 x 44 booth ID sign, and trash can Your company and contact information listed in the Conference Guide Post Conference Attendee List (excludes phone, fax and information) Hotel and Transportation Blocked Room Rates: Hilton Downtown Cleveland 100 Lakeside Avenue East Cleveland, OH Hilton Downtown Cleveland Standard Room starting at $ per night. Local taxes are 16.5% plus any applicable service fees. July 5, 2018 is the deadline for NAHN s preferred rates. Reservations call: be sure to ask for the NAHN rate. Cleveland-Hopkins International Airport (CLE) is located approximately 20 minutes away from the Hilton. Taxi fares between Cleveland-Hopkins Airport and the Hilton are approximately $ Annual Conference Sponsor and Exhibitor Packages 12

14 Exhibitor Agreement 1. AGREEMENT The application, executed by applicant (Exhibitor), together with these Terms and Conditions, shall constitute a valid and binding Agreement between the National Association of Hispanic Nurses (NAHN) and Exhibitor. The words Exhibit Management as used herein refer to the National Association of Hispanic Nurses (NAHN). Exhibit Management shall have full power to interpret, amend and enforce all Terms and Conditions in the best interest of the NAHN 2018 Conference Exhibition ( Exhibition ). 2. WHO MAY EXHIBIT The Exhibition is only for those companies offering products, equipment and services which will promote the development of the nursing profession. NAHN reserves the right to determine eligibility of any Exhibitor up to and including the dates of the Exhibition. 3. ASSIGNMENT OF SPACE If submitting a paper form, assignment of space will be made by Exhibit Management in the order of receipt of paid application. Assignment of space is final and shall constitute an acceptance of the exhibitors offer to occupy. NAHN reserves the final decision and right, in the best interest of the exhibit, to amend the floor plan, assign or relocate selected space in areas other than that selected by Exhibitor. Exhibitors may not sublet, sub-divide or assign their space, promote the products or services of non-exhibitors, or to otherwise permit nonexhibitors to distribute materials in their space or any part thereof. Only one company may occupy the space. For online exhibitor registration, exhibitor will have the opportunity to select their space online. 4. COST OF EXHIBIT SPACE Booths include standard draping, draped table, two chairs, booth ID sign, one wastebasket, two full conference passes, post-conference attendee mailing list and one listing in the Conference Guide. Additional Conference passes may be purchased for $150. Exhibitor passes do not include the Gala (Gala tickets available for an additional fee at Registration). 5. CANCELLATION An Exhibitor may cancel or withdraw from the exhibit program by submitting written notification. Cancellations on or before May 5, 2018, are eligible for a refund less a $500 service fee. No refunds will be made for cancellations made after June 5, ARRANGEMENT OF EXHIBITS Exhibitor agrees to arrange exhibits so as not to obstruct the general view or to hide other exhibits. No partitions other than the side rails provided by Exhibit Management will be allowed unless specifically approved. Side dividers at 6 heights may be extended no more than 3 from the back line of the booth. Inline booths have a height restriction of 8. No display material exposing an unfinished surface to neighboring exhibits or aisles will be permitted. Exhibits should be selfcontained with nothing outside the booth area. Interference with normal traffic flow is prohibited. Nothing shall be posted, tacked, screwed or otherwise attached to columns, walls or floors. 7. HOSPITALITY FUNCTIONS Scheduling of private functions, cocktail parties or other special events in conjunction with the Conference and within the host hotels MUST be coordinated directly with NAHN. Functions during the period of move-in, Exhibition hours, or move-out are prohibited. 8. OBJECTIONABLE CONDUCT Exhibit Management reserves the right to restrict, reject, prohibit or eject any exhibit, including personnel in whole or in part, which because of noise, conduct of personnel, selling outside of the booth or for other causes which Management deems not compatible with the purpose of the Conference & Exhibition or any other reason in the opinion of NAHN, without liability for any refunds or other expenses incurred. Management reserves the right to refuse distribution of souvenirs, advertising materials or anything else, which it may consider objectionable Annual Conference Sponsor and Exhibitor Packages 13

15 Exhibitor Agreement (continued) 9. COMPLIANCE WITH LAWS Exhibitors shall bear responsibility for compliance with any and all local, city, state and federal safety, fire and health laws, ordinances and regulations, including the Polices, Rules and Regulations of the Exhibition facility, regarding the installation, dismantle and operation of the exhibit. Exhibitors selling items from their booth should obtain any necessary city and/or state permits. 10. EXHIBIT HOURS Exhibitor agrees to have all exhibits finalized during the set up times as provided. Exhibitor agrees not to dismantle or remove any part of exhibit, or to start any packing until the close of the Exhibit area. If an Exhibitor violates this provision, the Exhibitor will be fined up to $500. In their own best interest and for security, Exhibitors are encouraged to keep an attendant at their booth during all open hours. 11. FORCE MAJEURE Exhibit Management may terminate this Agreement in the event the Exhibition facility is destroyed or damaged, or if it cancels the Exhibition due to any of the following causes: strike, lockout, injunction, emergency, act of God, act of war or any other cause beyond control of Exhibit Management. In such event, Exhibitor agrees to waive any and all damages and claims for damages. Exhibitor Agreement may be canceled upon written or notice to Exhibitor without liability including return of exhibition fees in whole or part, at NAHN s option. 12. INSURANCE & LIABILITY Exhibit Management will use reasonable care to protect Exhibitor against loss. However, NAHN and the Exhibition facility shall not be held responsible for the safety of exhibits against fire, theft or property damage or for accidents to Exhibitors or their Employees, Agents, Volunteers and attendees from any cause. Exhibitor agrees to obtain adequate insurance against any such injury, loss or damage. Exhibitor agrees to make no claim against and to protect, indemnify, defend and hold harmless Exhibit Management and the Exhibition facility against loss, theft or damage to Exhibitor s property or injury to persons in the Exhibition area. 13. UNION RULES Exhibitors must comply with Union rules as listed in the Exhibitor Kit as provided by the official service contractor. 14. PHOTOGRAPHS/VIDEOTAPING NAHN reserves the right to record and to use video and photographs for promotional and educational purposes. 15. CONSUMABLE ITEMS All consumable items to be distributed by Exhibitor must be approved through the Exhibition facility. Exhibitors will not be permitted to sell, serve or give away alcoholic beverages in the Exhibit area. 16. SERVICE CONTRACTOR Contact the Official Show Decorator for details on shipping and booth needs. These costs are borne by the Exhibitor. The Show Decorator Service Kit is sent to Exhibitors after reservations have been finalized. If an Exhibitor Appointed Contractor (EAC) is used other than the Official Show Decorator, please complete the EAC form as provided by the Official Show Decorator. The exhibiting company accepts all responsibility for EAC s actions or omissions that cause damage or injury and shall hold NAHN harmless from any liability. 17. SMOKING Smoking will not be allowed in the conference sessions or exhibit area. 18. CHANGES NAHN reserves the right to make any changes in the rules necessary to ensure the health and safety of those in attendance, the significance of exhibition and harmony of operation. Exhibitors will be advised of any such changes by bulletin or Annual Conference Sponsor and Exhibitor Packages 14

16 Exhibitor Hall Floor Plan 2018 Annual Conference Sponsor and Exhibitor Packages 15

17 Purchase Information 1 Please check your choice of sponsorship below: 2 EXECUTIVE SPONSOR PACKAGES q Presenting Sponsor... $60,000 q Diamond Sponsor... $45,000 q Ruby Sponsor... $30,000 q Emerald Sponsor... $20,000 Please check your choice of Conference Guide Advertising: Check items: Exhibitor Rate Non-Exhibitor Rate Back Cover, full color $3,750 N/A Full Page, full color, First Five Pages $3,000 $3,500 Full Page, full color (other than first five pages) $2,500 $3,000 ITEM SPONSORSHIPS q Conference App... $6,000 q Tote Bag... $6,000 q Badge Holder... $4,250 q Water Bottle... $3,500 q Gala Floral... $3,500 q Flash Drive... $3,500 q Conference Guide... $3,000 q Notebook & Pen... $2,500 q Blankets... $1,500 q Tote Insert... $1,500 q Magnets... $750 EVENT SPONSORSHIPS q Gala Sponsor... $35,000 q Welcome Reception... $17,500 q Pre-Gala Reception... $12,500 q Lunch Sponsor... $7,500 q Presidents Reception... $7,500 q Gala Entertainment... $6,000 q Gala Tables... $3,000 q Breakfast Sponsor... $5,000 q Pre-Con. Workshops... $5-10,000 q Community Svc Project... $6,000 q Presidents Council Mtg... $5,000 q Break Sponsor... $1,750 3 Half Page, full color $1,500 $1,750 Quarter Page, full color $750 $750 TOTAL CONFERENCE GUIDE ADVERTISING: $ Please check your choice of Exhibitor Booths: q 8 x 20 Booth... $4,500 $ q 8 x 10 Booth... $2,500 $ q 6 Tabletop... $2,500 $ q Additional Booth Staff... $150 $ q Awards & Scholarship Gala Dinner Tickets... $150 $ TOTAL BOOTH AMOUNT: $ TOTAL AMOUNT FROM 1,2 AND 3 DUE: $ Please see next page for Registration and Payment information. TOTAL SPONSORSHIPS $ 2018 Annual Conference Sponsor and Exhibitor Packages 16

18 Registration and Payment Information Rules/Regulations/Terms: The undersigned agrees to abide by all rules, requirements, restrictions, and regulations as set forth in this prospectus or as may be specially designated by the National Association of Hispanic Nurses, hotel or city. Organization agrees to pay 100% of all fees. All sponsor funds are non-refundable. Booths will be assigned once payment has been received. Organization/Company Name: Address: Phone #: Contact: City: State: Zip Exhibitor/Booth Information: Exhibitors will be sent confirmation packages with their booth assignments upon completion of registration and payment. Please refer to the Exhibit Floor Plan and list your top 3 booth choices below. We will do our best to assign you to one of your top 3 choices: Choice 1: Choice 2: Choice 3: Booth Staffing Personnel: (Two Complimentary Exhibitor registrations are included with each booth, excluding tickets to the Awards & Scholarships Gala) 1st Rep: Name: Title: Contact Phone: Emergency Contact: Emergency Phone: Please list any Dietary Restrictions/allergies: 2nd Rep: Name: Title: Contact Phone: Emergency Contact: Emergency Phone: Please list any Dietary Restrictions/allergies: Payment Method: q Please invoice me (net due 30 days from invoice date) q Check enclosed made payable to the National Association of Hispanic Nurses q Pay via Credit Card Complete the form below: q Visa q MasterCard q American Express Credit Card Number: Expiration Date: Security Code: Name on Card (please print): Authorized Signature: Date: Please completed Purchase Information and Registration and Payment forms to: Donna Blake-Weems 2018 Annual Conference Sponsor and Exhibitor Packages 17

19 nahnet.org Contact: Donna Blake-Weems, Director of Meetings Phone:

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