Enclosed please find copies of the initial documents that ...



Vendor Sponsorship Form

For Monthly Meeting

(Updated: 11/15/2018)

BCHC MISSION: The mission of this coalition is to develop and promote effective collaboration, planning, training, exercises, response, recovery and mitigation within the healthcare industry and for the residents and visitors in Broward County.

For additional information on BCHC contact: info@

$500 vendor sponsorship includes:

• Attendance at monthly BCHC meeting;

• Fifteen minute presentation on your product or service at

monthly meeting;

• Table to display products and services;

• Listing in monthly meeting notices to members;

• Networking opportunity pre and post meeting.

I would like to be a sponsor for a monthly meeting of the BCHC.

Preferred month to sponsor _____________year 2019.

Company Name______________________________

Contact Person________________________________

Address______________________________________

City_________________________ State__________ Zip _____

Phone____________ Fax

E-Mail________________________

Required authorized signature: ____________________________

PAYMENT METHOD:

__ Check enclosed (made payable to Broward County Healthcare Coalition).

Please send completed form and check:

Email – info@

Broward County Healthcare Coalition 1855 Griffin Rd Suite A-415

Dania, Fl 33004

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Members

Broward Health Coral Springs, Imperial Point, Medical Center, North

Cleveland Clinic Florida

Florida Medical Center

Holy Cross Hospital

Memorial Health Services- Miramar, Pembroke, Regional, South, West

Northwest Medical Center

Plantation General

University Hospital & Medical Center

Westside Regional

Broward County EM

Florida DOH of Broward County

Florida Department of Agricultural

Broward Sheriff Office

Coral Springs Fire Rescue

Davie Fire Rescue

Fort Lauderdale Fire Rescue

Hollandale Beach Fire Rescue

Hollywood Fire Rescue

Lauderhil Fire Rescue

Lighthouse Point Fire Rescue

Margate Fire Rescue

Miramar Fire Rescue

North Lauderdale Fire Rescue

Oakland Fire Rescue

Pembroke Pines Fire Rescue

Plantation Fire Rescue

Seminole Tribe of Florida Fire Rescue

Sunrise Fire Rescue

Tamarac Fire Rescue

SFHHA

Florida Hospital Association

Broward County Police Chiefs Association

Broward County Office of Medical

Examiner and Trauma Services

RDSTF

ESF 8

Funded by

Assistant Secretary for Preparedness & Response (ASPR)

Members

American Medical Response

American Red Cross

Bethesda Health

Boca Raton Regional Hospital

Delray Medical Center

Florida Health in PBC

Good Samaritan Medical Center

Health Care District of PBC

JFK Medical Center

Jupiter Medical Center

Kindred Healthcare

Lakeside Medical Center

NuVista Living

MorseLife

Palm Beach County Association of EMS Providers

PBC Division of Emergency Management

PBC Fire Rescue

PBC Medical Society Services

PBC Sheriff Office

Palm Beach Gardens Medical Center

Palms West Hospital

Select Specialty Hospital

St. Mary’s Medical Center

VA Medical Center

Wellington Regional Medical Center

West Boca Medical Center

West Palm Hospital

Funded by

Assistant Secretary for Preparedness & Response (ASPR)

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