Health Care Ergonomics:



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The American Nurses Association Masachusetts

Fall 2014 Conference

Keeping Patients and Nursing Staff Safe: 

Challenges and Possibilities

Friday, October 17, 2014

EXHIBITOR AND SPONSORSHIP OPPORTUNITIES

Company name:

(as it should appear on all signage and publicity – PLEASE PRINT LEGIBLY)

Mailing address:

Phone: Email:

Name of primary Conference attendee:

| | | |

|Additional Conference |Please complete and mail Additional Registrant Form. |$85 per badge |

|Registration Badges | | |

|ADDITIONAL REGISTRANTS FORM |

Additional Registrants for: (Company Name)

Name:

Phone: Email:

Address (if different):

Exhibitor space is limited and available on a first-come, first-served basis! If you have any questions, please do not hesitate to contact us at 617-990-2856 or info@.

Please make sure that all areas are completed, and return with your check

to: ANA Massachusetts, PO Box 285, Milton, MA 02186

For credit card payments contact ANA Massachusetts at 617-990-2856.

Notify us of your commitment to sponsor or exhibit AS SOON AS POSSIBLE.

to be included on the signage and in the program booklet

|EXHIBITOR AND SPONSORSHIP REGISTRATION FORM (continued) |

|Please select the exhibitor and/or sponsorship opportunities your company, organization, or academic affiliations are interested in supporting. American Nurses Association |

|Massachusetts welcomes you and thanks you in advance for your participation. |

|Check all |Opportunity |Details |Cost |

|that apply | | | |

| | | | |

| |Conference Grand Sponsor|Recognition on ANA Massachusetts website - company link on the MARN Home Page for 2 months. Prime Location for one |$5000 |

| | |8-foot draped table in Exhibit Area, Personal Introduction at the start of Conference, Name and Logo displayed on AV| |

| | |screen during Conference, Name distinguished in the Conference Area, Name located on thank you signs in the | |

| | |Conference Area, Recognition in program materials and Statewide ANA Massachusetts Newsletter, and FOUR Conference | |

| | |registration badges for Friday, 10/17/2014. | |

| | | | |

| |Keynote Speaker Sponsor |Prime Location in Exhibit Area, Personal Recognition at the start of Keynote Presentation, Name distinguished in the|$2000 |

| |Janet Haebler, MSN, RN |Conference Area, Name located on thank you signs in the Conference Area, Recognition in program materials and | |

| | |Statewide ANA Massachusetts Newsletter, FOUR Conference registration badges for Friday, 10/17/2014, and an 8-foot | |

| | |draped table in Exhibit Area. | |

| |Continental Breakfast |Name distinguished in the Breakfast and Reception Area, Name located on thank you signs in the Convention Area, |$1500 |

| |Sponsor |Recognition in program materials and Statewide ANA Massachusetts Newsletter, TWO Convention registration badges for | |

| | |Friday, 10/17/2104, and an | |

| | |8-foot draped table in the Exhibit Area. | |

| |Luncheon Sponsor |Prime Location in Exhibit Area, Personal Recognition during the Luncheon, Name distinguished in the Luncheon Area, |$1500 |

| | |Name located on thank you signs in the Convention Area, Recognition in program materials and Statewide ANA | |

| | |Massachusetts Newsletter, FOUR Convention registration badges for Friday, 10/17/2014, and an 8-foot draped table in | |

| | |Exhibit Area. | |

| | | | |

| |Panel |Prime Location in Exhibit Area, Personal Recognition at the start of Breakout Session, Name distinguished in the |$1000 |

| |Speaker Sponsor |Conference Area, Name located on thank you signs in the Conference Area, Recognition in program materials and | |

| | |Statewide ANA Massachusetts Newsletter, TWO Conference registration badges for Friday, 10/17/2014, and an 8-foot | |

| | |draped table in Exhibit Area. | |

| | | | |

| |Program Folder/ Booklet |Name & Logo on the front and back cover of the Conference Booklet, Name located on thank you signs in the Conference|$1500 |

| |Sponsor |Area, Recognition in program materials and Statewide ANA Massachusetts Newsletter, and TWO Conference registration | |

| | |badges for Friday, 10/17/2014. | |

| | | | |

| |Conference Booklet Ads |Inside Cover - Full Page Ad |$750 |

| | |Full Page Ad |$500 |

| | |½ Page Ad |$300 |

| | | | |

|EXHIBITOR AND SPONSORSHIP REGISTRATION FORM (continued) |

|Please select the exhibitor and/or sponsorship opportunities your company, organization, or academic affiliations are interested in supporting. American Nurses |

|Association Massachusetts welcomes you and thanks you in advance for your participation. |

|Check all that|Opportunity |Details |Cost |

|apply | | | |

| | | | |

| |Conference Exhibitor |Recognition in program materials and Statewide ANA Massachusetts Newsletter, ONE Conference registration badge for |$500 |

| | |Friday, 10/17/2014, and an 8-foot draped table in the Exhibit Area. | |

| | | | |

| |Conference |Printed material (limited to one item) available to all Conference attendees in Registration Area on Friday, |$250 |

| |Take-Away Table |10/17/2014. | |

Exhibitor space is limited and available on a first-come, first-served basis! If you have any questions, please do not hesitate to contact us at 617-990-2856 or info@.

Please make sure that all areas are completed, and return with your check

to: ANA Massachusetts, PO Box 285, Milton, MA 02186

For credit card payments contact ANA Massachusetts at 617-990-2856.

Notify us of your commitment to sponsor or exhibit AS SOON AS POSSIBLE.

to be included on the signage and in the program booklet.

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