REGISTRATION PACKET MEET THE SUMMIT. Dr. Baranchuk. Queens University, Canada. Dr. Hamilton. Researched Nutritionals. Dr. Maggi
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1 SEPT. 22 & 23RD, 2018 THE WESTIN HOTEL & RESORT WESTMINSTER, CO REGISTRATION PACKET Return by August 15th for Early Bird pricing. See Conference Ticket Information/Registration for details. MEET THE SUMMIT DOCTORS, SCIENTISTS & SPEAKERS Holly Ahern, Dr. Baranchuk Dr. DeMio Olivia Goodreau Susan Green Dr. Hamilton Dr. Kristen Honey Dr. Horowitz Dr. Lewis Dr. Maggi Dr. Melamed Dr. Morales Dr. Perronne Dr. Rajadas Dr. Sapi Dr. Shah Jeff Stauffer Dr. Szerlong Susanna Visser Dr. Zhang Biologist, State of New York, Adirondack Chief Legal Council NatCap Lyme Northeastern of Versailles, France TickTracker Chief Insect Information Officer Queens, Canada Researched Nutritionals North Carolina State Stanford Ticknology Private Practice Vice Chair, Tick-Borne Disease Working Group ImmunoE of New Haven DrPH, MS Associate Director for Policy Division of Vector-Borne Diseases, CDC Founder of The LivLyme Foundation, Creator/Inventor of TickTracker APP Private Practice Lyme Mexico IGeneX Laboratory John Hopkins
2 SEPT. 22 & 23RD, 2018 THE WESTIN HOTEL & RESORT WESTMINSTER, CO SATURDAY, SEPTEMBER 22, :00 AM - 5:00 PM CONFERENCE Includes Continental Breakfast, AM & PM Snacks (9:45 & 3), Lunch (12) and Think Tank Dinner THINK TANK DINNER (INCLUDED IN PRICE OF CONFERENCE TICKET) 5:30 PM - 6:30 PM COCKTAIL PARTY (Cash Bar) 6:30 PM DINNER RECEPTION Please join us for dinner & cocktails with an opportunity to be seated with a world renowned Lyme scientist or doctor for unparalleled access to these great Lyme minds. The Think Tank Dinner is a once in a lifetime opportunity, not to be missed. SUNDAY, SEPTEMBER 23, :00 AM - 12:30 PM CONFERENCE Includes Continental Breakfast and AM Snack (10:30) For questions, please registration@livlymefoundation.org
3 YOU'RE INVITED! Register Now! Who Should Attend? You are invited to attend the 2018 LivLyme Summit, a conference designed for medical professionals, researchers, scientists, advocates and patients interested in learning more about Lyme and other tick-borne diseases. This 1.5 day conference has been designed to foster open collaboration between all who attend. By the completion of the conference you will: better understand the concept of Lyme and TickBorne diseases in respect to diagnosis, treatment and research which will result in improved patient outcomes. have gained an essential understanding of provider education in the research and healthcare environment which will increase the rate of proper diagnosis and treatment options offered to patients. Join your colleagues and the outstanding panel of scientists, doctors and specialists who will discuss the challenges and solutions when dealing with tickborne disease. This activity is intended for all professionals engaged in research or the care of patients at risk of contracting tick-borne diseases. Medical Professionals: Physicians, Physician Assistants, Nurse Practitioners, Nurses, Pharmacists, Social Workers Researchers, Scientists and Advocates Lyme and Tick-Borne Disease Patients Conference Educational Objectives Assess the stereotypes surrounding Lyme and other tick-borne diseases. Identify those at risk of contracting tick-borne diseases. Recognize and assess signs and symptoms of tick-borne diseases Initiate appropriate use of diagnostic tests Manage patient diagnosis and treatment of tickborne diseases Accreditation In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and LivLyme Foundation. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Physician Continuing Medical Education The Postgraduate Institute for Medicine designates this live activity for a maximum of AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. ContinuingNursingEducation The maximum number of hours awarded for this Continuing Nursing Education activity is contact hours. Pharmacotherapy contact hours for Advance Practice Registered Nurses to be determined. Continuing Pharmacy Education Postgraduate Institute for Medicine designates this continuing education activity for contact hour(s) (0.75 CEUs) of the Accreditation Council for Pharmacy Education. (Universal Activity Number JA L04-P) Type of Activity: Knowledge Disclosure of Conflicts of Interest Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest. For questions, registration@livlymefoundation.org
4 CONFERENCE TICKET INFORMATION/REGISTRATION 2-day Early Bird LivLyme Summit Conference: $250 Includes Think Tank Dinner on Saturday, Sept. 23 at 6pm 2-day LivLyme Summit Conference Late Bird : $350 (Registering after Aug. 15) Includes Think Tank Dinner 2-day LivLyme Summit Conference Student Admission: $150 (Must show valid student ID) Includes Think Tank Dinner Continuing education credit with purchase of a conference ticket: FREE (check one) M.D. R.N. D.O. R.PH. Other Total Credited Hours: Affiliation/Practice Name: To register online, go to LivLymeFoundation.org and click the Conference link To submit your registration by mail, fill out the form below and send to: The LivLyme Foundation c/o Summit Conference, 700 N. Colorado Blvd. #674, Denver, Colorado Name: Business Name: Contact Person: Contact Phone #: Website: Credit Card Authorization: Card Type: Visa Mastercard Cardholder Name: Address: City: State: Total Amount: $ Exp: Amex (check one) Zip: Card Number: CVV: Signature: Westin Hotel & Resort Denver has rooms reserved for $139/night. See Hotel/Travel Information for details.
5 COMMUNITY PARTNER & EXHIBITOR REGISTRATION $2,500 SPONSORSHIP $750 SPONSORSHIP with Table (10 available) 2018 LIVLYME COMMUNITY PARTNER LIVLYME SUMMIT BAG Your company name/logo on all bags Program recognition 1 Exhibitor table ¼ Page ad in program 1 Complimentary registration Company s printed materials in 1 Complimentary registration Choice of table (provided on a first come, first served basis) $300 SPONSORSHIP with Table 2018 NON- PROFIT COMMUNITY PARTNER 1 Complimentary registration Choice of table (provided on a first come, first served basis) $3,000 SPONSORSHIP (2 available, Saturday & Sunday) LIVLYME SUMMIT BREAKFAST Program recognition 1 Exhibitor table ½ Page ad in program 2 Complimentary registrations Company s printed materials in $1,500 SPONSORSHIP (1 available) LIVLYME SUMMIT LANYARDS Your company name/logo on all lanyards Program recognition $5,000 SPONSORSHIP LIVLYME SUMMIT LUNCH Your company name as the main sponsor of the lunch on Saturday, September 22, 2018 Program recognition 1 Exhibitor table 1 Full ad in program 3 Complimentary registrations Company s printed materials in $10,000 SPONSORSHIP THINK TANK DINNER Your company name as the main sponsor for the Think Tank Dinner An opportunity to speak about your company on stage for 3-5 minutes Stage & program recognition at dinner 2 Exhibitor tables 1 Full ad in program 4 Complimentary registrations Company s printed materials in To register online, go to LivLymeFoundation.org and click the Conference link To submit your registration by mail, fill out the form below and send to: The LivLyme Foundation c/o Summit Conference, 700 N. Colorado Blvd. #674, Denver, Colorado Name: Business Name: Contact Person: Contact Phone #: Website: Credit Card Authorization: Card Type: Visa Mastercard Amex (check one) Cardholder Name: Address: City: State: Total Amount: $ Exp: Card Number: CVV: Signature: Zip:
6 ADVERTISING REGISTRATION FULL COLOR CONFERENCE PROGRAM ADVERTISEMENTS Note: No cut lines, Full bleed ok, JPEG/PDF format, min 300 dpi best quality (All ads must be received by 8/15/18) FULL PAGE AD $125 Size: 8 W x 10 L ½ PAGE AD $100 Size: 8 W x 5 L ¼ PAGE AD $75 Size: 4 W x 5 L BUSINESS CARD SIZE AD $75 Size: 3.5 W x 2 L To register online, go to LivLymeFoundation.org and click the Conference link To submit your registration by mail, fill out the form below and send to: The LivLyme Foundation c/o Summit Conference, 700 N. Colorado Blvd. #674, Denver, Colorado Name: Business Name: Contact Person: Contact Phone #: Website: Credit Card Authorization: Card Type: Visa Mastercard Amex (check one) Cardholder Name: Address: City: State: Total Amount: $ Exp: Card Number: CVV: Signature: Zip:
7 HOTEL/TRAVEL INFORMATION The Westin Hotel & Resort Shah s Limo And Car Service The Westin Hotel & Resort, Denver has rooms reserved for $139 USD/night. Please mention The LivLyme Foundation to receive this reduced rate. For reservations, please call: (303) For more information, visit westindenverboulder.com Uber/Lyft Hotel Address: Westminster Boulevard Westminster, Colorado Traveling to The Westin Hotel & Resort Denver International Airport (DEN) Travel Distance: Approximately km/25.0 miles Metro Taxi Fee: Approximately USD; one-way, up to four people. Hours of operation: 24 hours Travel Time: minutes Contact: (303) About: Taxis are readily available outside baggage claim or can be arranged in advance. Please keep the hotel address on hand for the driver. SuperShuttle Fee: $84 USD; one-way; up to three people. Hours of operation: 24 hours Travel Time: minutes Contact: (800) About: SuperShuttle service can be booked in advance or in-person at baggage claim. Please be aware that long lines in baggage claim can extend the wait time for tickets. Super Shuttle offers ride sharing as well as discounted group pricing. Fee: $80 USD; one-way, plus gratuity. Hours of operation: 24 hours Travel Time: minutes Contact: (303) ; Reservation Required About: Private car service is available to and from Denver International Airport through Shah s Limo and Car Service. Fee: Rates vary based on driver availability and demand. Rates will be provided prior to pick-up. Hours of operation: 24 hours Travel Time: minutes About: Ride-sharing apps such as Uber and Lyft provide swift transportation to/from the airport. Guests can request a ride on-demand by downloading the apps on their smart phones. Rental Car Services Avis Rent A Car (303) Budget Car Rental (303) Enterprise Rent A Car (303) Hertz Car Rental (800) Parking Information Self and Valet Parking Facilities $0-15 USD per day Within Walking Distance Guests will discover an abundance of attractions just a short walk from the hotel. Our location in the Westminster Promenade offers direct access to shops, cinemas, ice rinks, comedy clubs, restaurants, recreation centers, and more. Note: Estimated charges, fees and schedules are not guaranteed by hotel. Driving distance may be affected by local conditions and traffic. For questions, registration@livlymefoundation.org
Estimated time to complete activity: 1.5 hours for medical professionals, 3 hours for non medical professionals
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