Feb. 7, 2019 SoCal PDA VN EXHIBITOR REGISTRATION FORM page 1/8 Marconi Auto Museum Exhibitor Name: Title: Company: Business Address: City: State/Zip: Business Phone: Fax Number: E-Mail Address: Exhibit Fees: Options A & B can be purchased separately or included in sponsorship For options C-E please provide guest names and information on page 2 Refer to pages 3 & 4 for table locations Refer to page 5 for sponsor & donation opportunities Sign exhibitor, vendor and sponsor contract Exhibit Fee Includes: Set Up Time 3 4:00 PM Event Time 4 9:00 PM No Refunds. No Substitutions. DATE: Pre-Early Bird Up to Jan. 17 - $875.00 Early Bird Jan. 18 Jan. 31 - $925.00 No-Early Bird Feb. 1- Feb. 7 - $1,000.00 Option A: Literature in Bag $80.00 Option B: 2 Minute Vendor Announcement $130.00 Option C: Vendor Guest Discount Rate (2-guests-Save 15%) $120.00 Option D: Vendor Guest Discount Rate (3-guests-Save 20%) $110.00 Option E: Vendor Guest Discount Rate (4-guests-Save 25%) $100.00 Additional Name Included w/ Registration: Additional Name Email: Table Choice: 1 2 3 electricity: Yes No Vendor Raffle Gift: Yes No Gift: Logo Provided (j-peg or pdf): Yes No 2-Attendees; reserved parking; admission to museum; speaker presentations; 6'x2.5' table w/ covering & chair (if req ed); electricity (where available) at no cost (must bring own power cords & plugs); wine & beer; plated meal with dessert and coffee; logo recognition as a participating vendor in event marketing materials; speed networking; For check payments (see page 2 for further instructions), email completed registration form to SoCal PDA Herb Matheson at herb.matheson@validation.org. Incomplete forms will not be processed Name as it appears on check/cc: Payment: Check - Check No. Bank: Amount on check/cc: $ Check/CC Date: CC Type: Visa MC Am. Ex. CC No.: Exp. Date: Security Code: Company Name: Billing Address: City: State: Zip Code: Signature: Date: Makes Checks Payable To: SoCal PDA Chapter
Feb. 7, 2019 SoCal PDA VN EXHIBITOR REGISTRATION FORM page 2/8 Marconi Auto Museum Additional Check Pmt. Info., Guest Names & Directions Exhibitor Name: Additional Guests Names: Guest 1 Name: Guest 1 Email: Guest 2 Name: Guest 2 Email: Guest 3 Name: Guest 3 Email: Guest 4 Name: Guest 4 Email: Check Payment: Check Must be Received by Thursday, Feb 7, 2019 Option C Option D Option E Mail Checks To: SoCal PDA Chapter c/o Herb Matheson Validation Technologies Incorporated 10815Rancho Bemardo Road, Suite 120 San Diego, CA 92127 Ph. No.: 858-967-1721 or 800-930-9222 Fax: 858-673-3677 Directions: Marconi Auto Museum, 1302 Industrial Dr, Tustin, CA 92780 For more information contact: Herb Matheson, herb.matheson@validation.org, Ph. No. 858-967-1721 or Greg Mills, greg@axrtech.com, Ph. No. 714-803-5111
Feb. 7, 2019 SoCal PDA VN EXHIBITOR REGISTRATION FORM page 3/8 Table Locations: Tables with Electricity: 1-8, 18-23, 43-51, 24-27, 28-31 and 32-36 Brown symbols are bar locations Center tables for dining For more information contact: Herb Matheson, herb.matheson@validation.org, Ph. No. 858-967-1721 or Greg Mills, greg@axrtech.com, Ph. No. 714-803-5111
Feb. 7, 2019 SoCal PDA VN EXHIBITOR REGISTRATION FORM page 4/8 Marconi Auto Museum Exhibitor Name: Title: Company: Business Address: City: State/Zip: Business Phone: Fax Number: E-Mail Address: Event Sponsor Fees: Donations Will Be Given to Rare Science (a non- profit research organization, works directly with patient families to find immediate solutions for children suffering with rare diseases. For more info visit www.rarescience.org) on Behalf of SoCal PDA Chapter & Participating Vendors Sponsor Fee Includes: Set Up Time 3 4:00 PM Event Time 4 9:00 PM No Refunds. No Substitutions. DATE: Beer $400.00- local craft beer Coffee / Tea $220.00 Soft Drinks $220.00 Dessert $320.00 Dinner $400.00 Event Bag $400.00 (order by 1/17) (4 sponsors only) (eps logo req) Transportation $450.00 (Ventura County, Los Angeles & San Diego) Water $180.00 Wine $400.00 CA. Wines Additional Name Included w/ Sponsorship: Additional Name Email: Donation to Rare Science: Yes No Amt.: 1-additional attendee ticket can be used to invite a guest; logo listed in flyer w/ hyper link to web site pre / post email announcements; sponsor recognition on event signage; sponsor highlighted in event program; literature included in sponsor bag; sponsorship recognition during opening remarks; 2-minute vendor announcement Literature for Bag Instructions: literature can be no more than 1 4 separate sheets and must be sent collated or 1 stapled brochure (max. 4 pages); all literature must be received by Thursday January 31, if received later no guarantee literature will be in bag; please send literature to: Randy George, 8211 San Angelo Dr., Unit K11, Huntington Beach, CA 92647 For check payments (see page 2 for further instructions), email completed registration form to SoCal PDA Herb Matheson at herb.matheson@validation.org. Incomplete forms will not be processed Name as it appears on check/cc: Payment: Check - Check No. Bank: Amount on check/cc: $ Check/CC Date: CC Type: Visa MC Am. Ex. CC No.: Exp. Date: Security Code: Company Name: Billing Address: City: State: Zip Code: Signature: Date: Makes Checks Payable To: SoCal PDA Chapter
Exhibitor, Vendor and Sponsor Contract 2019 SoCal PDA Chapter Vendor Night Marconi Auto Museum, Tustin, CA Page 5/8 1. Exhibitors, vendors and sponsors are allowed 1 floor standee or standing signage. All signage must be freestanding and cannot block any exits. Standees or standing signage cannot be put on or in front of the exhibit table. Exhibitor must ensure standee or standing signage is secure as not to cause bodily harm or physical damage. 2. Exhibit tables with electricity are noted with an X on the floor plan. If a table has electricity exhibitors can bring a monitor and/or laptop computer (s) and must also bring the appropriate power cords and plugs for hook up to electricity. Power cords will not be provided. Exhibitor, vendor and sponsor must ensure monitor and laptop computer(s) are securely placed on table as not to cause bodily harm or physical damage. 3. Two exhibitor attendees are included in the registration unless additional registrations, guest registrations or sponsorships are purchased. 4. Exhibitors, vendors and sponsors will be provided a list of attendees and company affiliations after the scheduled event. Attendees' email addresses and contact phone numbers will not be provided per PDA guidelines. 5. Neither SoCal PDA Chapter nor PDA National including their respective Directors, Officers, Board Members and Chapter Members are liable for losses incurred by exhibitors, vendors or sponsors while at the 2017 Industry Summit. 6. Neither SoCal PDA nor PDA National including their respective Directors, Officers, Board Members and Chapter Members are liable for damages that are the result of exhibitors, vendors or sponsors while at the 2017 Industry Summit. 7. Damages to the host facility as a direct result of exhibitors, vendors and sponsors activities during the event are not the responsibility of SoCal PDA or PDA National including their respective Directors, Officers, Board Members and Chapter Members. 8. Multiple exhibitors, vendors and sponsors without prejudice are expected for each event up to a limit generally imposed by the host facility. 9. Exhibit tables will be in as accessible a location as possible (given the host facility constraints) to give adequate exposure to attendees (past locations have included the registration area, reception/social area or the actual meeting area). 10. SoCal PDA or PDA National cannot assure or guarantee a minimum number of people at the 2017 Industry Summit. 11. In case of dangerous travel conditions, extremely low number of registrations or other unforeseen events, the SoCal PDA Chapter Board of Directors may cancel the event with as much advance notice as possible and refund the fee paid. No refund will be issued for rescheduled events. 12. In the event the exhibitor, vendor or sponsor is not able to attend, the day of the event, the payment will not be refunded. 13. Exhibitor, vendor and sponsor registrations are final, no refunds will be provided unless otherwise stated in this agreement. Exhibitor, vendor or sponsor acknowledges and accepts the above policy for exhibiting at the 2019 SoCal PDA Chapter Vendor Night on February 7, 2019 at the Macroni Auto Museum, Tustin, CA Company Name: Company Representative: Title: Signature: Print Name: Date:
Feb. 7, 2019 VENDOR NIGHT EXHIBITOR REGISTRATION FORM page 6/8 Event Agenda: 4:00 p.m. 9:00 p.m. Registration opens, event begins, and Networking Break 4:45 p.m. 6:00 p.m. Appetizers will be served 5:15 p.m. 5:30 p.m. Opening PDA SoCal Chapter Remarks 5:30 p.m. 6:00 p.m. Sponsorship Announcements 6:00 p.m. 7:00 p.m. Plated dinner will be served/technical Session Presentation(s) 7:00 p.m. 7:30 p.m. Networking Break/Raffle Drawing 7:30 p.m. 8:00 p.m. Plated dessert will be served/presentation by FDA Keynote Speaker 8:00 p.m. 8:05 p.m. Donation Announcement 8:05 p.m. 8:50 p.m. Speed Networking 8:50 p.m. 9:00 p.m. Raffle Drawing & Closing Remark Technical Speaker: Outsourcing Challenges and Solutions for Success Bernd Kraemer, PhD - Head of Supplier Quality, Americas Region at Roche/Genentech Bernd Kraemer has been working in in the Pharmaceutical Industry for the past 20 years. He holds a PhD in Organic Chemistry from the University of Stuttgart, Germany and an MBA from the Moore School of Business at the University of South Carolina. During his career at Roche, Bernd has held various positions in Technical Development, Manufacturing, and Quality in Germany and the US. Currently, he is the Head of Supplier Quality for the Americas Region at Genentech, responsible for GxP suppliers. Bernd lives in the San Francisco Bay Area.
SoCal PDA Chapter 2019 Annual Sponsors: page 7/8 Gold Silver Bronze
Feb. 7, 2019 VENDOR NIGHT EXHIBITOR REGISTRATION FORM page 8/8 2019 Vendor Night Exhibitors & Sponsors