ILLINOIS SOCIETY FOR RESPIRATORY CARE

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							                                              Illinois Society for Respiratory Care
                                              Annual Conference and Exhibition 2012
                                              Drury Lane Convention Center
                                              May 30th through June 1st, 2012 –
                                              -




EXHIBITION INFORMATION                                                SILVER            $1100 sponsorship
                                                                              All basic features
We invite you to participate in exhibiting your equipment and                 Speaker sponsorship for a speaker from
expertise for all aspects of the diagnosis and treatment of cardio-            Illinois
respiratory care from critical care to home care, for sleep studies           A listing in a special section of the handout materials
and treatment, pharmaceuticals, and patient and practitioner                   given to all attendees
education, smoking cessation products and programs, and
healthcare practitioner protective supplies.
                                                                      GOLD              $1300 sponsorship
Last year, 600 practitioners, educators, discharge coordinators,              all of silver features plus
and department managers toured the exhibit hall.                              Continental breakfast sponsorship
 The list of participating companies and their booth numbers is               one additional representative (total of five)
made available to all participants.
                                                                      PLATINUM $1600 sponsorship
This year is a sports theme, “Respiratory Care – The Ultimate
                                                                              all gold features plus
Team “ [ Booth colors are burgundy and white ]. As in previous
                                                                              event sponsorship
years, the company with the “Best Decorated Booth", as judged
                                                                              two additional representatives (total of six)
by independent judges, will receive a free booth at the 2013
convention.                                                                   1 free advertisement in the respiratory tract 3x5
                                                                              Special recognition during ribbon cutting opening the
                                                                               exhibit hall
Register now to guarantee a booth in the exhibit area.
                                                                      *Vendor donations/sponsorships are Not tax deductible.
REGISTRATION DEADLINE IS TUESDAY, MAY 8, 2012
                                                                      Drayage is available at additional charge, and additional fees are
1.   Please make your selection from the packages.                    charged for additional weight.
2.   Total payment must accompany registration.                       Return all reservations to the address on the registration form.
     (reservations will not be accepted by FAX).
3.    Lost Badge fee: $10.00                                          *All exhibits must be set up on Wednesday, May 30th from
4.   Late fee for registration postmarked after May, 8, is $150.00    12 noon until 3:00 p.m. There will be no exceptions to this time
5.   Cancellation Fee: Prior to May 15, a fee of $200 will be
     charged. After this date there will be no refunds.               Vendor special events will be announced in your confirmation
                                                                      letter
Choose From Four Different Packages!

BASIC                      $650.00                                    CRCE credits will be available.
        registration for four company representatives total [
         badges can not be exchanged on a daily basis ]               Come join us at Drury Lane, Oakbrook for a rewarding
        8’ Back-wall and 2 - 3’ draped side rails                    experience!
        6’ skirted table
        plastic folding chairs, 1 wastebasket                        Vendors may check the ISRC website at
        Booth I.D sign (company name, Booth #)                       http://www.isrc.org/isrcconfindex.htm for more
        one standard electrical drop (additional outlets are         information, conference mailings, and updates.
         available at additional cost)
        entrance to all ISRC functions and CEUs available for
         the four representatives
                                           Illinois Society for Respiratory Care
                                           Annual Conference and Exhibition 2012
                                           Drury Lane Convention Center
                                           May 30th through June 1st, 2012 –
                                           -




                                    EXHIBITOR REGISTRATION / CONTRACT FORM -
                                            44rd Annual ISRC Convention
Please reserve space for the exhibit area of Drury Lane, Oakbrook during the Convention
Please Print the following information:

Company:
Address:
City, State, Zip:
Phone: (          ________)                                      FAX: (_           _________)
Contact email address:
Vendors may check the ISRC website at http://www.isrc.org/isrcconfindex.htm for more information, conference
mailings, and updates.
Number of booths requested:                                       (a $50 discount is given for each additional booth).

Electrical: No                                   Yes:                           # of outlets:
Product Line / Service:
Representatives names: The exhibitor packages include four badges for representatives per booth [ see packages].
Extra representatives beyond the first four must register at the Convention rate for daily / full registrations.

1.                                                          2.

3.                                                          4.

5.                                                          6.
                                                                         Registration Fee
Package Choice:                   Platinum:                                       $1600.00           $
                                  Sponsorship:      Event
                                  Gold                                            $1300.00           $
                                  Sponsorship: Continental Breakfast
                                  Silver                                          $1100.00           $
                                  Basic                                            $650.00           $
Sponsorship               Out of state speaker:                                    $1000.00          $
Rates :                   Speaker Illinois:                                         $500.00          $
                          General Sponsorship                                                        $
**make check payable to: IL. SOC. for RESP. CARE                                Total Enclosed:      $
Paypal payment accepted at www.isrc.org/isrcconfindex.html - Payment received after 5/08/12 will incur $150.00 late fee

___________________________________________
Print name of Corporate Contact                                  Authorization Signature

Return to: Larry Dastych                                          Questions : Larry Dastych – 630-567-1057
           26 Evergreen Place                                                                   or
             Lemont, Illinois 60439                                               Kelli DeBerry - 847-981-3581

						
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