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2019 Spring Current Concepts in Dermatology Seminar Sponsored by: American Osteopathic College of Dermatology
EXHIBITOR PROSPECTUS
JW Marriott Orlando Grande Lakes 4040 Central Florida Parkway
Orlando, Florida 32837
April 10-13, 2019
Dear Exhibitor,
The American Osteopathic College of Dermatology invites you to join our team of exhibitors at our Current Concepts in Dermatology, Spring 2019 Meeting. Our meeting will be held at the JW Marriott Orlando Grande Lakes, Orlando, FL from April 10-13, 2019. On Saturday, April 13, we will be offering the Florida Requirements CME course and will open this up to ANY physician in the Orlando area to attend.
This conference is the perfect opportunity for networking with professionals at every level of the
field. Our comparatively smaller size gives you greater access and more face-to-face time with
conference attendees. You will have the opportunity to mingle with program directors, department
chairs, political advocates, experts and up-and-coming physicians throughout the day. Meal breaks,
receptions and other activities provide ample time to mix and mingle.
We also have many sponsorship opportunities at this conference with a wide variety of price points.
If you would like to increase your presence or are unable to attend but would like to still make your
company known to our members, sponsorship is a great way to amplify your visibility. We
encourage you to review the enclosed material and embrace the opportunity to meet and get to
know our organization.
The AOCD was recognized in 1958 as a specialty college of the American Osteopathic Association.
Just as the osteopathic profession has grown over the past 100 years, the AOCD has also grown.
Our College now has 700+ board certified dermatologists.
“The American Osteopathic College of Dermatology (AOCD) is accredited by the Accreditation
Council for Continuing Medical Education (ACCME) to provide continuing medical education for
physicians.”
The American Osteopathic College of Dermatology has grown tremendously over the last six decades to become a strong and influential specialty college. Our presence is well-established in academic and clinical settings throughout the United States, as well as in many political arenas. American Osteopathic College of Dermatology is dedicated to promoting the practice of osteopathic dermatology on a national level.
Sincerely,
Executive Director, AOCD
Executive Director, Foundation for Osteopathic Dermatology
2017 AOCD Fall Meeting (New Orleans, LA) Geographical Attendee Breakdown
2018 AOCD Spring Meeting (West Palm Beach, FL) Geographical Attendee Breakdown
The Venue April 10-13, 2019 JW Marriott Orlando Grande Lakes 4040 Central Florida Parkway Orlando, Florida 32837 AOCD has made arrangements for a reduced nightly room rate of $275.00. Rooms in the JW
Marriott Orlando Grande Lakes Hotel block are limited and available on a first come-first served
basis. Guests may call 407-206-2300. The reservation cut-off date is March 18, 2019.
http://www.marriott.com/hotels/travel/mcojw-jw-marriott-orlando-grande-lakes/ Pets not
allowed. This hotel has a smoke-free policy. On-site parking, fee: $28 daily. Valet parking, fee: $35
daily.
Daily Resort Fee Inclusions: Over $206 value for only $20/day plus tax in addition to the
room rate of $275.00.
Guests can take advantage of several wonderful amenities while staying at our Orlando hotel. The resort fee includes the following:
1. Shuttle Transportation to SeaWorld, Walt Disney World and Universal Orlando (24-hour advance reservations required)
2. Enhanced High Speed Guest Room Internet 3. Unlimited Local and Domestic Long Distance Phone Calls 4. Mountain Bike Rental at Grande Lakes Sports (two bikes, one hour/day/room) 5. Driving Range Privileges 6. Daily Kids Activities** 7. Two Pool Floats at the JW Marriott® Lazy River Pool 8. Fitness Center Classes (one/day/room)
$50 print credit towards any Photography Concierge package
Directions: Orlando International Airport (MCO), Hotel direction: 10 miles SW Mears Shuttle Service; fee: $20 (one way); reservation required Estimated taxi fare: $50 (one way) Exit north to SR-528 West. SR-528 is a toll road. Travel to exit 3 for John Young Parkway South/SR-423 and turn left. Follow the parkway to Whisper Lakes Boulevard and turn right. Continue on the boulevard to the resort's main gate.
Transportation: Mears Transportation is the preferred and reliable limo service for the JW Marriott Orlando Grande Lakes. http://mearstransportation.com/ Enjoy shuttle service from our hotel to SeaWorld® Orlando. Visit Orlando's most popular attractions with ease from our luxury hotel near International Drive. Climb aboard our convenient shuttle service to Walt Disney World®, Universal Orlando® and SeaWorld®. Play a round of golf at the resort or head to the Mall at Millenia for a day of upscale shopping Hertz Car Rental on property 4000 Central Florida Pwky Orlando, FL 32837 Phone: +1-407-393-4784
EXHIBIT INFORMATION You are cordially invited to exhibit at this educational meeting of the American Osteopathic College
of Dermatology. The scientific program will be varied and have broad appeal for dermatologists.
Physicians attending this conference will be eligible for an anticipated 15-21 Category 1-A
continuing medical education credits approved by the AOCD/AOA. An additional two 1-A credits
will be available upon successful completion of the outcomes evaluations survey within 30 days of
the end of the meeting. The American Osteopathic College of Dermatology AOCD designates this
live activity for a maximum of 21 AMA PRA Category 1 Credit(s)™. Physicians should claim only the
credit commensurate with the extent of their participation in the activity.
Why Exhibit? The overall purpose of the convention is to educate osteopathic dermatology physicians about the latest techniques and trends in dermatology and to provide opportunities for professional networking. Exhibitors and other contributors to this continuing medical education program receive recognition through special mailings to members and are listed in the AOCD Newsletter and Conference Program. It is expected that the available space will fill quickly, so please reserve your space as soon as possible to assure your participation. Space will be on a “first come first served” basis. Approximately 400 dermatologists, dermatology residents, medical students and staff from throughout the United States are expected to attend this conference. WHEN: Wednesday through Saturday, April 10-13, 2019 WHERE: JW Marriott Orlando Grande Lakes, Orlando, FL EXHIBIT SETUP: Tuesday, April 9, 2019 at 3:00 pm to 6:00pm and Wednesday, April 10, 2019, 9:00 am to 12:00 pm.
DISMANTLE: Saturday, April 13, 2019 until 5:00 p.m. EXHIBIT HOURS: Wednesday, April 10, 2019 10:30 a.m. – 12:00 p.m. Lunch 3:00 p.m. - 3:30 p.m. Break Thursday, April 11, 2019 6:00 a.m. - 7:00 a.m. Breakfast 10:00 a.m. - 10:30 a.m. Break 3:00 p.m. - 3:30 p.m. Break
Friday, April 12, 2019 7:00 a.m. - 8:00 a.m. Breakfast 11:00 a.m. - 11:30 a.m. Break Saturday, April 13, 2019 6:00 a.m. - 7:00 a.m. Breakfast 10:00 a.m. - 10:30 a.m. Break Attendee Lists: Attendee lists will be available the day of the conference and will not be mailed or distributed prior to the conference. AOCD sincerely appreciates the partnership of our exhibitors, and each year we take their feedback into account and develop new ways to drive traffic to every table.
Grantor Attendance Policy: Representatives of commercial supporters may attend an educational activity but may not engage in promotional activities while in the room where the CME activity takes place. No commercial promotional materials shall be displayed or distributed in the same room as the CME activity. Exhibits are permitted at AOCD meetings; however, they shall not influence nor interfere with the
presentation of the CME activity.
Giveaways and Promotional Items: The AOCD requests compliance with all applicable industry, state and federal regulatory and governmental agency guidelines (AMA, PhRMA, OIG, FDA, FCC, FTC, AdvaMed, etc.). Acceptable giveaways should primarily entail a benefit to patients, be related to the physician’s work and should not be of substantial value. Giveaways may only be distributed from the exhibitor’s booth and may not be mailed to attendees after the meeting or delivered to outside locations during the meeting.
Prize contests, awards, drawings, raffles or lotteries of any kind held at any time or place within the auspices of the meeting are not permitted. Attendees may not be registered for drawings, raffles or lotteries which might be conducted after the AOCD Spring Meeting. Gaming devices of any description are not permitted in the exhibit hall. The AOCD, in its sole discretion, shall have the right to prohibit the distribution of any samples it deems objectionable or otherwise inappropriate. Cancellation and Refund Policy: Full refunds (less $100 processing fee) are available if requested in writing at least one month prior to the date of the program. The AOCD is not responsible for “acts of god” such as inclement weather, delays in airline travel or governmental restrictions on travel due to national emergencies. Refunds will not be made if participants are delayed or unable to attend because of these issues. Business Center: The hotel’s state-of-the-art business center offers a wide range of 24-hour secretarial and support services, including faxing, photocopying, printing and courier service. Check-in and Check-out: Check-in: 4:00 PM, Check-out: 11:00 AM Express Check-in, Express Checkout, Video Review Billing, Video Checkout On Site Security: The AOCD is not responsible for any loss or damage to exhibitor property.
Is your organization a 501c3 Not For Profit?
Contact the AOCD to learn how your organization can exhibit
gratis at any of our events.
Things To Do Theme Parks Minutes from all major attractions, the JW Marriott Orlando, Grande Lakes rises above the peaceful landscape. The luxury hotel provides an elegant oasis in a city that offers some of the best entertainment and themed attractions in the world. Guests can book activities, tours and other services and enjoy shuttle transportation to Walt Disney World® Resort, Universal and SeaWorld theme parks. Let Expedia Local Experts at the on-site desks provide you the convenience of their knowledge to help plan your theme park visits. With quick and convenient access to the Beach Line Expressway and Interstate 4, you're just moments from countless nearby attractions. At JW Marriott Orlando, Grande Lakes, the Expedia Local Experts is open daily from 7am – 10pm. For more information on activities or transportation: Phone: 407-393-4006
Pools and Lazy River Swimming at the JW Marriott Orlando, Grande Lakes is no ordinary adventure. Guests may choose the fun and adventure of our hotel's lazy river or the serenity of The Ritz-Carlton Pool; the choice is all yours. Enjoy an afternoon of fun for the whole family. Casual cuisine and tropical beverages are served at Quench, where swim attire is encouraged and guests soak in the Orlando sun while dining on salads, wraps and burgers.
Spa & Golf Escape to a grand place where the soul is nourished, the spirit is revived and the body is transformed. The Ritz-Carlton Spa® Orlando, Grande Lakes offers you a rejuvenating retreat from the stress of the outside world. Whether you are a hotel guest, event attendee or resident of Orlando, we invite you to come relax the spirit and refresh the soul. The 40,000-square-foot Spa features:
40 treatment rooms
4,000-square-foot outdoor heated lap pool and healing waters for the exclusive use of Spa guests
Co-ed relaxation conservatory
Full-service salon
Tranquility, Spa boutique
6,000-square-foot Wellness Center
Vitale, Spa Café For more information or to reserve a spa treatment, please call (407) 393-4200 The Ritz-Carlton Golf Club®, Orlando, Grande Lakes provides golfers with an experience not typically found in Florida. In designing The Ritz-Carlton Golf Club, Orlando, Grande Lakes, two-time British Open Champion Greg Norman and his team put special emphasis on preserving the area's well-balanced ecosystem, thriving with ponds, wetlands, live oaks and cypress heads. The result is a breathtakingly beautiful course enhanced by rare natural elements. Wide fairways, strategically placed hazards, generous landing areas and subtly contoured greens provide a challenging but fair test of a golfer's abilities. 18-hole, Greg Norman Signature Golf Course, Optional Caddie Concierge Program Contoured greens and generous landing areas, Five sets of tees, for varying shot options Closely mowed turf, inviting creative play, Short roughs to enhance enjoyment Elegant clubhouse, including pro shop, Fairways Pub, specialty restaurant For more information and pricing details please call (407) 393-4900
Dining Primo Led by Chef Melissa Kelly, this welcoming Italian restaurant offers traditional fine dining in a relaxed ambiance. Dishes are prepared using organic produce from our on-site garden. Open for dinner Dress code: Casual Phone: +1 407-393-4444 Citron, An American Brasserie Begin your day in Orlando at this vibrant breakfast restaurant, which serves hearty, wholesome American favorites and fresh-baked pastries. Open for breakfast Dress code: Casual Phone: +1 407-206-2300 Whisper Creek Farm The Kitchen is the result of our desire to immerse our guests in an authentic farm-to-table dining experience. Our restaurant features farm-inspired fare including flatbreads and small plates, complemented by craft beers. Open for dinner Dress code: Casual Phone: +1 407-393-4755 The Lobby Lounge & Sushi Bar Our Lobby Lounge provides a perfect spot for capping off a productive afternoon in Orlando. Let our bartenders mix a creative cocktail for you as you enjoy offerings from the Sushi Bar, which features a raw bar and an a la carte selection of Asian tapas. Open for dinner Dress code: Casual Phone: +1 407-393-4445 Quench Poolside Bar & Grill Settle in poolside and bask in the Orlando sunshine as you sip a tropical drink and enjoy casual cuisine. This laid-back bar and grill specializes in burgers, salads and other relaxed offerings. Open for lunch Dress code: Casual Phone: +1 407-393-4777 Café Bodega Stop by our eco-friendly café for fresh, fast dining. Choose from a range of healthy, grab-and-go sandwiches and snacks on your way out to explore Orlando. Open for breakfast and lunch Dress code: Casual Phone: +1 407-393-4394 Starbucks® Open for breakfast, lunch and dinner Dress code: Casual Phone: +1 407-393-4734
Exhibitor Information Table Top Exhibit Fees Entire Conference: $3,000.00 Daily Fee: $1,000.00/day
Included in the exhibiting fees is one six foot table, draped and skirted, two chairs, two conference registrations, as well as the use of the AOCD conference rate when booking hotel rooms at the JW Marriott Orlando Grande Lakes. Access to electricity will be provided by request at an additional fee. Each company should provide the necessary information to the shipping department at the hotel for shipment of packages both to and from the conferences. The AOCD will not be responsible for these charges.
Exhibiting Schedule:
Each day will feature didactic sessions beginning at 7:00 a.m. Beverage breaks will be provided throughout the conference and will provide our physicians with the opportunity to explore the exhibit floor. On Thursday, April 11, 2019 we will have our Presidential Celebration from 6:00 p.m. - 9:00 p.m. This event is open to members and their families, as well as exhibitors and is the perfect opportunity for exhibitors to mingle with attendees and establish relationships at the outset of the conference.
Badges:
Badges for pre-registered exhibit personnel will not be mailed prior to the conference. Exhibitor badges will be available for pickup during registration hours and will be held under the company name. Exhibitors are encouraged to wear their own company-supplied name badges.
Shipping:
Each company should provide the necessary information to the shipping department at the hotel for shipment of packages both to and from the conference. The AOCD will not be responsible for these charges. SHIPPING INSTRUCTIONS/ADDRESS Sender Name Name of the Conference Conference dates JW Marriott Orlando Grande Lakes 4040 Central Florida Parkway Orlando, Florida 32837 Be sure to include the following information: Contact Name: __________________________ On-Site Cell Phone #: ___________________ Is the onsite exhibitor a guest in our hotel? Yes ____ No ______ Approximate # of boxes: ________ The hotel understands it may be necessary to ship packages in advance for your group. We ask that you restrict the arrival to no more than three (3) days prior to your event due to the limited storage space that is available. Packages received more than three (3) days prior to an event will be charged an additional 50% charge for each additional day.
Note: Please have tracking numbers available to help expedite location of packages.
Package Fees INCOMING HANDLING FEE $10.00 per box under 50 lbs. $20.00 per box over 50 lbs. $30.00 per display box, poster, large tube, or oversized boxes. $40.00 per display case. $100.00 per shrink wrapped pallet (pallets must be self-contained & properly sealed). $100.00 per small wooden create under 150 lbs. $175.00 per crate over 150 lbs. Refrigerated items $25.00 flat rate. OUTGOING HANDLING FEE $10.00 per box. $15.00 per display box, poster, large tube, or oversized boxes. $20.00 per display case. $75.00 per pallet. $20.00 storage per pallet overnight. Note: Please have tracking numbers available to help expedite location of packages. Return Shipping We are happy to partner with FedEx and UPS shipping. Upon teardown of your exhibit, please package and secure all contents. Also please affix your own shipping label. Once packages are ready for shipment, the Hotel will coordinate movement of the package for pick up. Above package fees will apply. *The Hotel is not responsible for providing shipping labels, or packing materials.* Please contact the AOCD at [email protected] for exhibitor room floor plan, shipping order forms and electricity order forms.
PSAV Exhibitor Order Form 2017PSAV is proud to serve as the in-house provider for Audio Visual Services at the Grande Lakes Orlando.
AUDIO EQUIPMENT (Daily Rate)
EquipmentAdvanced
Order RateOnsite
Order RateQTY
# of Days
Total
Powered speaker w/ stand $200 $240
Wireless Microphone Pkg.
[ ] Lavalier [ ] Handheld$210 $250
LIGHTING (Daily Rate)
LED Uplight Fixture - 1 lights $90 $115
GOBO Lighting package $320 $415
TOTAL Equipment Rental
30% Labor Charge
Minimum $95
6.5% Sales Tax
GRAND TOTALADDITIONAL COMMENTS:
Advance Show rates cut off 10 days prior to start of ShowPlease Send Orders to Either:
[email protected] - 407-393-4850
Questions Call - 407-393-4254 or 407-393-4211
EXHIBITOR INFORMATION
Show Name: Start date: End date: # Show Days:
Company Name: Preferred Setup Time:
Onsite Contact: Room/Exhibit Booth #
Street Address: City & State: Zip code:
Telephone Number: Email Address:
Ordered By: Print Cardholder's Name: Biling Zip code:
To protect our customers’ payment card information PSAV abides by PCI DSS and other applicable policies and standards. PSAV will reach out to you via phone to confirm payment information and enter any required information directly into our secure payment system. PSAV will not maintain a written copy of your credit card information nor ask for your CVS Security code at any time. I agree that should the Grande Lakes
Event Technology department be unable to process the credit card given via phone, an alternate method of payment will be provided.
VIDEO EQUIPMENT (Daily Rate)
(Other Items Available on Request)
EquipmentAdvancedOrder Rate
OnsiteOrder Rate
QTY# of
DaysTotal
20" LCD Flat Screen Monitor $145 $185
46" LCD Monitor and Floor Stand $680 $815
55" LCD Monitor and Floor Stand $880 $1,050
60" LCD Monitor and Floor Stand $1,045 $1,255
70" LCD Monitor and Floor Stand $1,155 $1,385
VGA/HDMI Cable (Please Specify) $25 $30
3k Lumen Projector $505 $650
Flip Chart Package $75 $100
Extension Cord and Power Strip $40 $50
LAPTOPS (Daily Rate)
All Laptops include Windows XPoffice 2010 RW/DVD
$245 $320
Computer Audio Package(Includes mixer and speaker)
$320 $415
BASIC INTERNET (Daily Rate)
Wired High Speed Internet $200 $250
Wireless High Speed Internet $22 $30
(Customized Packages available)
10 amp (1000 watts)
EXHIBITOR BOOTH POWER*Standard Placement is the back of an inline booth - labor is included in below pricing
1-2 Show Days = 1 Day Rate3+ Show Days = 2 Day Rate
120 VOLTAdvancedOrder Rate
OnsiteOrder Rate
QTY# of
DaysTotal
5 amp (500 watts) $137.50 $157.50
$247.50 $267.50
15 amp (1500 watts) $275.50 $295.50
20 amp (2000 watts) $330.00 $350.00
6.5% Sales Tax
GRAND TOTAL
AOCD Sponsorship Opportunities
WHY SPONSOR? Sponsorship is an effective way to stand out from competitors and increase brand recognition with attendees. Sponsors benefit from dedicated pre-conference e-mails, logo exposure, promotion through social media, on-site signage and more! Daily Breakfast in the Exhibit Hall $5,000 Breakfast is served in the exhibit hall every morning, kicking off a full day of lectures and activities. Breakfast sponsors can expect acknowledgement on hall signage, mentions on all print and web materials and agendas. Beverage Break Stations $3,000 per break Morning and afternoon coffee breaks are greatly appreciated during a long day of lectures and events. Beverage break stations are located in the exhibit hall, where sponsors will see on-site signage. Sponsorship will also be acknowledged throughout all conference materials. Resident Sponsored Giveaways $2,000 This is an opportunity to sponsor giveaways such as gift cards, an iPad or other great prizes to the resident members. Each gift can be given away with a note from the sponsoring company. For any larger items, a representative from the sponsoring company is invited to be present for the giveaway. The giveaway sponsors will be in marketing materials and featured in The Dermline publication. Attendee Conference Bag $6,000 See your logo on every bag that attendees use to carry the items and information from exhibitors, as well as laptops and conference materials! T-Shirts $7,000 See your logo on the AOCD conference t-shirt. The t-shirt is a longtime staple of the AOCD meeting. Sponsors will be recognized with signs, as well as acknowledgement in all conference materials. Registration Portfolios $3,000 A portfolio folder will be provided for each attendee and will provide a place to keep additional handouts, evaluation forms and a small notepad for note taking. Sponsors will be recognized with signs, as well as acknowledgement in all conference materials. Product Theaters Product theaters are 45-minute sessions that provide a high value, live educational opportunity for supporters to reach engaged physicians. These sessions deliver a forum to gather and discuss issues on patient education, specific products and therapeutic areas. AOCD recognizes that product theaters are promotional and may concentrate of a specific product or drug. These sessions do NOT receive CME credit. Please contact the AOCD for more information regarding product theater opportunities.
Available Sponsorships
Tuesday April 9, 2019 3:00 pm-6:00 pm Exhibitor set up
Wednesday April 10, 2019 5 CME 9:00 am-12:00 pm Exhibitor set up 10:30 am- 12:00 pm Product Theater Brunch 12:00 pm – 1:00 pm Lecture 1:00 pm - 2:00 pm Lecture 2:00 pm-3:00 pm Lecture 3:00 pm-3:30 pm Break with Exhibitors Break 3:30 pm-4:30 pm Lecture 4:30 pm – 5:30 pm Lecture 5:30 pm- 6:30 pm Product Theater Thursday April 11, 2019 7 CME 6:00 am- 7:00 am Product Theater Breakfast 7:00 am-8:00 am Lecture 8:00 am-9:00 am Lecture 9:00 am- 10:00 pm Lecture 10:00 am-10:30 am Break with Exhibitors Break 10:30 am- 1:00 pm General Business Meeting 1:00 pm 2:00 pm Lecture 2:00 pm-3:00 pm Lecture 3:00 pm-3:30 pm Break with Exhibitors Break 3:30 pm-4:30 pm Lecture 4:30 pm – 5:30 pm Lecture 6:00 pm Reception Friday April 12, 2019 3 CME 7:00 am-8:00 am Product Theater Breakfast 8:00 am-9:00 am LECTURES 9:00 am-10:00 am LECTURES 10:00 am-11:00 am LECTURES 11:00 am-11:30 am Break with Exhibitors Break 11:30 am- 12:30 pm Product Theater Lunch 12:30 pm Attendee Free Time
Saturday April 13, 2019 6 CME
5-Hour Mandatory Course for Florida Re-licensure 6:00 am- 7:00 am Breakfast 7:00 am – 9:00 am Prevention of Medical Errors Florida Requirements 9:00 am -10:00 am Professional Medical Ethics Florida Requirements 10:00 am-10:30 am BREAK 10:30 am- 11:30 am Florida Laws & Rules Florida Requirements 11:30 pm-1:30 pm Prescribing Controlled Substances Florida Requirements
Conference Floor Plan
Our Exhibition Hall will be located
Palazzo D Ballroom
Please reserve your space early.
Vendors will be limited to 1 six foot table top.
Reception
EX
C
M
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EXHIBITOR APPLICATION FORM AOCD Current Concepts in Dermatology, Spring 2019
April 10-13, 2019 To ensure exhibit space, complete this application and mail to PO Box 7525, Kirksville, MO 63501 or fax to 660-627-2623. Deadline for receipt of exhibit fee is Friday, March 1, 2019. Space is assigned as a “first come first served” basis. Exhibit Fee: $3,000.00 Gratis to Ruby, Diamond, Platinum and Gold Corporate Sponsors $1,000.00 for Silver and Bronze Corporate Sponsors $2,500.00 for Pearl Corporate Sponsors _____ Entire Conference $3,000.00 _____ Partial $1,000.00/day _____ I will require electricity, internet, telephone, etc. (additional fees may apply) _____ I have enclosed a check. _____ Please bill my credit card for the amount $_____________ CVV# _______________ Name as it appears on card________________________________________________________ Card #__________________________________ Expiration Date_____/_____/_____ Company Name________________________________________________________________ Contact Name__________________________________________________________________ Phone Number_________________________________________________________________ Address_______________________________________________________________________ City______________________________________ State________ Zip Code_______________ Email Address__________________________________________________________________ Exhibitor Representatives Attending (2 conference registrations are gratis with exhibitor sign-up. Additional exhibitor registrations are $50.00 per person). Please list representatives with their email addresses. _____________________________________________________________________________________________ Name Email _____________________________________________________________________________________________ Name Email _____________________________________________________________________________________________ Name Email _____________________________________________________________________________________________ Name Email
If you are unsure at this time of the representatives who will be attending this meeting, forward their name(s)
at your earliest convenience so that appropriate information can be sent to them. Please make checks
payable to: AOCD, PO Box 7525, Kirksville, MO 63501.
AOCD Current Concepts in Dermatology
Sponsorship Registration Form
Company Name_________________________________________________________________ Address_______________________________________________________________________ City____________________________________________ State________ Zip Code__________ Phone Number_______________________________ Fax Number________________________ Contact Person__________________________________ Email Address____________________ On-Site Contact________________________________ Email Address_____________________
___Daily Breakfast in the Exhibit Hall $5,000 per breakfast
___Beverage Break Stations $3,000 per break
___Resident Sponsored Giveaways $2,000
___Attendee Conference Bag $6,000
___T-Shirts $7,000
___Registration Portfolios $3,000
Total Amount Enclosed $____________
Payment Information __Check Enclosed __Bill my credit card for the amount $____________
Name on Card_________________________________________ Email_________________________________________ Card #______________________________________ Expiration___________ CVV#_______ Please return form by fax at 660-627-2623, by email to: [email protected] or by mail to: AOCD PO Box 7525 Kirksville, MO 63501
American Osteopathic College of Dermatology
P.O. Box 7525 Kirksville, MO 63501 Office: 660-665-2184 800-449-2623 Fax: 660-627-2623
Letter of Agreement
between American Osteopathic College of Dermatology and (Company) Title of Activity: Company (name/Branch) Contact Person Address City, State, Zip Telephone Email The above Company wishes to provide support as a/for: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________
CONDITIONS Ancillary Promotional Activities: no promotional activities will be permitted in the same room or obligate path as the educational activity. No product advertisements will be permitted in the program room. The Company agrees to abide by all requirements of the AOA Guidelines for Relationships between Accredited Sponsors and Company of CME as
well as all requirements of the ACCME Standards for Commercial Support.
The American Osteopathic College of Dermatology agrees to:
1) abide by the AOA Guidelines for Relationships between Accredited Sponsors and Company of CME;
2) acknowledge support from the Company in program brochures, syllabi, and other program materials, and
3) upon request, furnish the Company a report concerning the expenditure of the funds provided.
_____________________________________________________________________________________________
Company Representative (print name) Email
_________________________________________________
Company Representative Title
_____________________________________________________________________________________________
Signature Date
AOCD: Marsha A. Wise [email protected]
Executive Director Email
_____________________________________________________________________________________________
Signature Date
American Osteopathic College of Dermatology PO Box 7525 Kirksville, MO 63501 Address Service Requested
Save the Dates!
FALL 2019
September 24-28, 2019 Omni Nashville Hotel 250 5th Ave. South Nashville, TN 37203 Phone: 615-782-5300
https://www.omnihotels.com/hotels/nashville $294.00 per night plus tax. Reservations must be booked by August 26, 2019
SPRING 2020
February 17-22, 2020 Hilton West Palm Beach 600 Okeechobee Blvd. West Palm Beach, FL 33401 Phone: 561-231-6000
http://www3.hilton.com/en/hotels/florida/hilton-west-palm-beach-PBIWPHH/index.html $299.00 per night plus tax. Reservations must be booked by January 23, 2020
FALL 2020
October 8-11, 2020 Hyatt Centric Magnificent Mile 633 N St. Clair St Chicago, IL 60611 Phone: 312-787-1234
https://www.hyatt.com/ www.hyattchicagomagnificentmile.com
$299.00 per night plus tax Reservations must be made by: September 17, 2020
SPRING 2021
February 22-27, 2021 Hilton West Palm Beach 600 Okeechobee Blvd. West Palm Beach, FL 33401 Phone: 561-231-6000
http://www3.hilton.com/en/hotels/florida/hilton-west-palm-beach-PBIWPHH/index.html $299.00 per night plus tax. Reservations must be booked by January 28, 2021
FALL 2021
October 7-10, 2021 The Westin Denver Downtown 1672 Lawrence St. Denver, CO 80202 Phone: 888-627-8435
http://www.westindenverdowntown.com/ $239.00 per night plus tax Reservations must be booked by September 16, 2021
