Exhibiting Company Application Form

Transcription

1 Exhibiting Cmpany Name: (name as listed in the prgram) Exhibiting Cmpany Applicatin Frm Name: (name f persn filling ut frm and will receive cmmunicatins frm SCDM) Additinal cntact: (persn wh shuld receive cmmunicatins frm SCDM if different frm abve) Address: City: Zip: Phne: State: Cuntry: Fax: Website Address: EXHIBITION RESERVATION On-Shw Site Reservatin Fees in Washingtn, DC => $3, SOLD OUT Early Bird Reservatin Fee until December 12, 2014 => $3, SOLD OUT Regular Reservatin Fee until March 31, 2015 => $3, SOLD OUT Late reservatin Fee as f April 1, 2015 until the cnference => $3, Number f Bths Bth Number(s) & Ttal Bth $ Authrized Educatin Bistatistics Clinical Data Management Staffing & Cnsulting Clinical Research Organizatin (CRO) Clinical Services and Sftware fr Clinical Trials Clinical Trial Management & Supprt Data management Drug develpment Educatin, Research Electrnic Data Capture (EDC) PRODUCT & SERVICE (please check all that apply): esurce Sftware Slutins fr Clinical Trials Functinal surcing (FSP) Interactive Respnse Technlgies Medical Writing/Publishing Nn-prfit rganizatin Prfessinal Recruitment Services Regulatry, Clinical, Prcessing Cnsulting Scientific cmmunicatins Standards develpment rganizatin Other (please specify): Please send us yur cmpleted frm and Prduct/Service r Cmpany descriptin fr use in the SCDM 2015 nsite cnference prgram (maximum 50 wrds) by Friday, July 17, Handwritten descriptins will nt be accepted.

2 Knwledge Partner Value: $22,500 SPONSORSHIP RESERVATION - À la carte Including all items: One 45 minute Prduct Demnstratin (n Tuesday mrning) Cffee Break Day 1 (Mnday afternn) Capitl Package (Diamnd) Value: $20,500 White Huse Package (Platinum) Value: $15,500 Including all items: C-Spnsr f the DC Evening Event including welcme speech Favrs (subject t apprval by SCDM and prvided by spnsr) Chice f ne: Cyber Café Opening Receptin - SOLD Cnference Tte Bags - SOLD Washingtn Mnument Package (Gld) Value: $12,500 Smithsnian Package (Silver) Value: $8,500 Cnference Lanyards Value: $6,500 - SOLD Reusable Water Bttles Value: $6,500 Ntepads & Pens Value: $4,500 - SOLD Cffee Breaks Value: $3,800 Chice f ne: Onsite Final Prgram - SOLD Custmized Htel Key Cards (ne-clr lg imprint) - SOLD Audi Respnse System - SOLD Save the Date SOLD Cffee Break Day 2 (Tuesday mrning) - SOLD Chice f ne: Lunch Day 1 (Mnday) - SOLD Lunch Day 2 (Tuesday) - SOLD Cntinental Breakfast Day 1 (Mnday) - SOLD Cntinental Breakfast Day 2 (Tuesday) - SOLD Cntinental Breakfast Day 3 (Wednesday) - SOLD Flr Decals in Exhibitin Space (Limited t 3 spnsrs, ne decal each) SOLD SOLD -Day 1 Mnday mrning Day 2 Tuesday afternn Day 3 Wednesday mrning Newcmer Sessin Value: $3,000 Guest Rm Amenity & Rm Drp Value: $2,000 - SOLD Day 1 Sunday Day 2 Mnday Day 3 Tuesday Ttal Spnsrship $

3 ADD ONS Exhibit Hall Bing Traffic Builder $50 (Used fr attendee prizes) Upgraded web listing $250 * (link t website & lg) Upgraded Listing in Printed Prgram with Lg $125 * *Please lg in high reslutin eps & jpeg frmat t jelfand@scdm.rg Ttal ADD ONS $ FINAL PROGRAM ADVERTISING Full-page Back Cver $2,495 *- SOLD Full-page Inside Frnt Cver $1,995 **- SOLD Full-page Inside Back Cver $1,995 **- SOLD Full-page $1,495 * Half-page hrizntal (8.5 x 5.5 ) $850 Quarter-page (4.25 x 5.5 ) $550 *Ad specificatins: 8.5 x 11 Ttal Prgram Ad $ Artwrk must be ed in a high reslutin jpeg file fr press ready t print frmat t jelfand@scdm.rg. Artwrk is due by Friday, July 17, 2015 GRAND TOTAL $ Depsit Due $ PAYMENT Charge My Credit Card (Full Payment is due with applicatin) AMX MC Visa Card Number Cardhlder Name Expiry Date Signature I agree that this applicatin shall be deemed as valid and binding. Payment is due in full by December 12, 2014, t receive the Early Bird discunt and reserved psitin n the exhibitin flr. SCDM has final rights t mve any reserved bth and will ntify the exhibitr in writing n later than July 17, I agree t all exhibiting and spnsrship deadlines and regulatins. Fr further infrmatin, please cntact: jelfand@scdm.rg r inf@scdm.rg

4 EXHIBITOR RULES & REGULATIONS By applying fr exhibit space, exhibitrs agree t abide by the fllwing regulatins: Each exhibitr is respnsible fr cmpliance with the Americans with Disabilities Act (ADA) within its bth and assigned space. Attire f exhibit persnnel shuld be cnsistent with the business casual atmsphere f the cnventin. Only SCDM-spnsred decals, pins, lanyards and ribbns may be affixed t delegate r exhibitr badge hlders. Demnstratins by exhibitrs may nt interfere with nrmal traffic flw nr infringe n neighbring exhibits. Demnstratins will nt be permitted utside f the exhibitr s assigned bth space. Any demnstratins must be pre-apprved by SCDM. Canvassing r distributin f advertising material by an exhibitr will nt be permitted utside f the exhibitr s bth space. Canvassing r marketing f any prducts r services in any part f the exhibit hall r meeting rms by anyne representing a nn-exhibiting firm is strictly prhibited. SCDM must be ntified f an exhibitr s intent t distribute fd r beverage items in the exhibitin hall. All such items must be apprved by SCDM and rdered directly frm the Renaissance Washingtn, DC Dwntwn Htel. Exhibitrs are nt permitted t bring in utside fd r beverages. Subletting f exhibit space is nt permitted. Sharing f exhibit space is nt permitted unless it is within divisins f the same cmpany. Any space sharing must be preapprved by SCDM. SCDM reserves the right t reject any exhibit applicatin submitted; t reject, prhibit, restrict r therwise require mdificatin f any exhibit fr any reasn; and t evict r bar any exhibitr whse cnduct r materials are bjectinable t SCDM fr any reasn. Exhibitrs will nt affix, nail r therwise attach anything t the walls, drs, flrs r clumns f the exhibit hall except where a nail strip is prvided r by the permissin f SCDM and the Renaissance Washingtn, DC Dwntwn Htel. All illuminated displays and ther equipment requiring electrical current must cnfrm t lcal electrical cdes. All extensin crds must be 3-wire grunded and U.L. apprved. Mre infrmatin n the specific requirements fr electrical equipment will be included in the exhibitr service kit. Exhibitrs are required t cnfrm t all lcal labr regulatins in the installatin and dismantlement f their bth and exhibit fixtures. Mre infrmatin n the specific labr regulatins in effect will be included in the exhibitr service kit. SCDM must be ntified f any ffsite events scheduled by exhibitrs r spnsrs. Scheduling f ffsite events that cmpete with SCDM scheduled events in prhibited.

5 Payment All payments must be made in U.S. dllars (USD). Credit card payments, mney rders and direct wire transfers in USD (and EURO) are accepted. If sending payment by wire transfer, please cntact SCDM at Hld Harmless Clause The exhibitr assumes the entire respnsibility and liability fr lsses, damages and claims arising ut f injury r damage t the exhibitr s displays, equipment and ther prperty brught upn the premises f the exhibit facility and shall indemnify and hld harmless the Sciety fr Clinical Data Management, the Renaissance Washingtn, DC Dwntwn Htel, exhibit hall service cntractr and each f their emplyees and agents frm any and all such lsses, damages and claims. In additin, the exhibitr acknwledges that it is the sle respnsibility f the exhibitr t btain business interruptin and prperty damage insurance cvering such lsses by the exhibitr. SPONSORSHIP & EXHIBITOR CONTRACT INFORMATION Exhibit, Spnsrship & Advertising Payment Payment is due with the cmpleted applicatin and signed cntract. Full payment is due by December 12, Additinal Attendees Limited cmplimentary registratin and exhibitin bth passes are included in Knwledge Partner, Diamnd, Platinum, Gld and Silver spnsrships, as well as with a bth-nly package. All spnsrs may send additinal members at member rate. Assignment f Exhibitin Space Exhibitrs select their space via an nline exhibitin flr plan. SCDM reserves the right t mve any exhibitr t anther bth. Cancellatin Plicy Written ntificatin must be sent t the SCDM administrative ffice if an exhibitr, spnsr r advertiser wishes t cancel r reduce exhibit space, spnsrship package, add-ns r advertising, after assignment has been made. Please nte that when yu cancel yur spnsrship and/r exhibit bth, all f the benefits included in the package are frfeited. The fllwing cancellatin fees apply: DATE OF CANCELLATION Cntract signature t December 12, 2014 December 13, 2014 March 31, 2015 April 1, 2015 Cnference start APPLICABLE PERCENTAGE OF TOTAL 25% f ttal amunt due 50% f ttal amunt due 100% f ttal amunt due (n refunds)