Dear Potential Exhibitor: On behalf of Program Directors, David Ascher, MD, MBA and Meredith Carter, MD, we are pleased to invite you to the Mohsen Ziai Pediatric Conference! This intensive two-day program combines lectures, interactive seminars and question-and-answer sessions to allow you to interact with faculty in solving the problems you encounter every day in practice. This program is designed for pediatricians, family practitioners, pediatric nurse practitioners and nurses who want to learn the latest trends and hear expert speakers discuss hot topics in pediatric medicine. We would love for you to join us as an exhibitor at this conference. I ve attached exhibitor details below for your review in the meantime. We look forward to seeing you in November! Best regards, MD Albertson Marchelle D. Albertson, Senior Meeting Planner INOVA Continuing Medical Education
The Mohsen Ziai Memorial Pediatric Conference Exhibitor Information The Ritz-Carlton, Tysons Corner Friday, November 1 Saturday, November 2, 2013 8am 5pm Maximize your exposure by exhibiting at the Mohsen Ziai Pediatric Conference. This symposium will present cutting edge advances in pediatric primary and specialty care and information on office practice support programs provided by the American Academy of Pediatrics and the Virginia Department of Health. Exhibitors at Inova s Mohsen Ziai Pediatric Conference have access to over 200 health care professionals the most influential buyers of your products, the leading subscribers to your services and the dominant media that can help you promote your offerings to the medical community at large. Attendance for this conference is for physicians in the medical specialties of pediatricians, pediatric nurses, pediatric nurse practitioners, physician assistants, and family practitioners. Silver Package - $900 Table space provided for display Eligibility to send 1 representative to the conference. Opportunity to interact with the attendees during registration, meal and scheduled breaks. Printed recognition in the syllabus Verbal recognition on the day of the program Gold Package - $1100 Table space provided for display (premium location) Eligibility to send 2 representatives to the conference Opportunity to interact with the attendees during registration, meal and scheduled breaks Printed recognition in the brochure Printed recognition in the syllabus Verbal recognition on the day of the program Unable to join us in November? Become a Welcome Bag Sponsor ($350) by including your company s favorite item(s) to be placed in welcome bags for each attendee. We ask that you provide up to 200 items which must be shipped to Inova CME at least 2 weeks prior to the event date. To reserve a space, complete the exhibitor registration form and mail a copy or email to: Marchelle D. Albertson, Senior Meeting Planner marchelle.albertson@inova.org Inova - Office of Continuing Medical Education 8110 Gatehouse Road, 5th Floor Falls Church, VA 22042 Inova s Tax ID: 54-1071867 Make Checks Payable to: Inova Office of CME Re: Mohsen Ziai Pediatric Conference 2013
Exhibitor Registration Form Company: Address: City: State/Region: Zip Code: Telephone: Fax: Email: Web Address: Person(s) responsible for exhibit at conference: Person to receive letter confirming receipt of this application: Product/Service to be exhibited: Exhibit Packages (Each additional exhibitor registration is $100) A. Silver Exhibit Package B. Gold Exhibit Package C. I am unable to exhibit but am interested in providing an educational grant. Amount: Exhibitor Badges One complimentary badge is provided per Silver Exhibit Package. Two complimentary registrations per Gold Exhibit Package. 1. Complimentary Additional Registration $ 2. Complimentary Additional Registration $ Payment Amount for Badges: $ Booth Package Fee: $ Amount Due: $ Check enclosed - made payable to: Inova Office of CME Visa MasterCard Discover Card AMEX Card Number - - - Name on Card Billing Address Expiration Date By my signature, my organization/company acknowledges that we have received and agree to the terms of Inova s policy regarding exhibits at CME events. Signature: Date:
Inova Policy on Exhibiting at CME Conferences 1. Product specific advertising of any type is prohibited in CME educational activities. 2. Live (staffed exhibits, presentations) or enduring (printed or electronic advertisements) promotional activities will be identified as promotional and be kept separate from CME educational activities. 3. Commercial promotional materials cannot be displayed or distributed in the educational space, nor placed in the educational venue immediately before, during or immediately after a CME educational activity. 4. While in the space or place where the activity takes place, representatives of commercial interests may not engage in sales or promotional activities. 5. Arrangements for commercial exhibits or advertisements cannot influence planning or interfere with the presentation, nor can they be a condition of commercial support of CME activities. 6. Advanced promotional materials for a CME activity that are not directly related to the transfer of education to the learner may include advertising. This promotional material must contain information about multiple non-cme elements of the event, such as schedules and course descriptions. 7. Educational materials that are part of a CME activity, such as slides and handouts, cannot contain any advertising or brand name or a product-group message. 8. At all times during a CME activity, except when in the setting where the educational activity is occurring, the representatives of commercial supporters must wear a badge identifying his or her name and commercial sponsor. No specific product or equipment information may be worn. While in the setting where the educational activity takes place, the commercial representative must not wear any commercial identification, nor engage in any sales activities. 9. The decision to access or to attend promotional activities must be made by the learner. 10. Each person at a booth must be registered with OCME.