Research Study Club :: 80th Midwinter Conference

RESEARCH STUDY CLUB OF LOS ANGELES
2012 Mid-Winter Conference

EXHIBITOR OPPORTUNITIES

	GOLD $10,000 Listed in Registration Brochures and in the Conference Packets; thanked in a conference reminder letter which will be sent to local physicians; acknowledged from the podium and recognized on table cards at the Saturday Lunch, in addition to appropriate signage at conference; exhibitor table at conference; breakfast(s) and Saturday Lunch provided for up to four representatives.
	SILVER $5,000 Listed in the Conference Packets and recognized on table cards at the Saturday Lunch, in addition to appropriate signage at conference; exhibitor table at conference; breakfast(s) and Saturday Lunch provided for up to four representatives.
	BRONZE $2,500 Listed in the Conference Packets and recognized on table cards at the Saturday Lunch, in addition to appropriate signage at conference; exhibitor table at conference; and breakfast(s) and Saturday Lunch provided for up to two representatives
	SUPPORTER of the Residents: $1,000 - $2,499 Listed in the Conference Packets; thanked in the information packets sent to department heads; exhibitor table at conference; and breakfast(s) and Saturday Lunch provided for up to two representatives
	EXHIBITOR: $750 Listed in the Conference Packets; exhibitor table at conference; and breakfast(s) for up to two representatives

80th Mid-Winter Clinical Conference for Otolaryngology and Ophthalmology
February 10 & 11, 2012
Good Samaritan Hospital Sponsor and Exhibitor Agreement

Fill out the information below and click the submit button at the bottom of the page to reserve your spot. Your reservation will be confirmed via email.
Company Name as it should appear in print:
Sponsorship and/or Exhibitor Level:	Please Enter a Supporter Amount
Primary Contact:
	Please note: Your space assignment will be made at the discretion of Research Study Club. Space is committed with the understanding that the exhibitor firm will hold the Research Study Club and the Good Samaritan Hospital harmless from any and all liability which may result from any cause whatsoever. All reasonable precautions will be taken to safeguard the exhibit area, but the Research Study Club will not guarantee loss or damage of any kind to any exhibitor property or persons.
Conference:
Convention Coordinator:
Email Address:
Address:
Phone:
Fax:
Name(s)/Title(s) of representative(s) who will be present at conference (please print):
Federal tax identification number for Research Study Club: 95-1648188