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WSHHRA 2010 Fall CONFERENCE

VENDOR REGISTRATION FORM

Date:             September 9 & 10, 2010 (Vendor Day – September 9)

Location:        Suncadia Lodge- Cle Elum, WA (www.suncadia.com)

Time:             Breakfast through the afternoon snack break

Fee:               $300

Please complete the following information so that we can provide this information to our attendees in their conference materials

 

*You are welcome to join us during the meal and snack periods throughout the day.  Due to increases in the costs of meals, your registration fee covers meals for only one person.  Additional person(s) can be covered for an additional $100 fee (includes breakfast, lunch, dinner and snacks).  Additional guests only for dinner are $40.00.  To enable an accurate headcount at dinner please confirm whether or not you will you be attending on Thursday evening and will you have a guest?

 

If you are interested in special recognition and want to help further with our expenses, we welcome vendor/partner sponsorship. You will receive acknowledgement at the beginning of the event, signage during the event, and recognition in the conference brochure.
Sponsorship Options

Vendor Fee:
Company *
Name *
Phone *
E-mail Address: *
Website
Booth Needs *Internet
Chairs
Power
Do not need a table
Sponsorship Only - Not Exhibiting
Dinner Attendance *Yes
No
Additional Vendor Representative(s)
Dinner Guest *Yes
No
Guest Name
Sponsorship OptionsConference Bags ($600)
ID Badge Lanyards (At your cost)
Breakfast 9/9 ($500)
Morning Snack 9/9 ($200)
Lunch 9/9 ($500)
Afternoon Snack 9/9 ($200)
Dinner Meal 9/9 ($1,000)
Dinner Beverages 9/9 ($600)
Breakfast 9/10 ($500)
Morning Snack 9/10 ($200)
Grand Prize Drawing 9/10 ($500)
* Required

Additional Vendor Representative:

Dinner Guest:

All registration and/or sponsorship fees can be made payable to WSHHRA and mailed to the following address or see our website, www.wshhra.org for online processing:

Memorial Practice Management

Attn:  Jolene Seda , WSHHRA

3800 Summitview Ave

Yakima, WA  98902

Contact #: 509-249-5025, fax # 509-249-5038

jseda@memorialpm.com