FLORIDA ASSOCIATION OF SELF INSUREDS 46TH ANNUAL EDUCATIONAL CONFERENCE & TRADE SHOW

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1 FLORIDA ASSOCIATION OF SELF INSUREDS 46TH ANNUAL EDUCATIONAL CONFERENCE & TRADE SHOW RITZ CARLTON NAPLES NAPLES, FLORIDA JULY 19-22, 2015

2 Mach 2015 All FASI Suppotes: The Floida Association of Self Insueds 46th Annual Educational Confeence & Tade Show is scheduled fo July 19-22, 2015, at the Ritz Calton Naples, 280 Vandebilt Beach Road, Naples, FL. We invite you to paticipate in ou confeence by exhibiting you poduct o sevice at ou Tade Show. To eseve exhibit space, please complete the enclosed Tade Show Registation Fom and etun it to FASI Headquates by June 19, Space is assigned on a fist-come, fist-seved basis. Fo those companies that would like to exhibit and sponso o wish to suppot the oganization financially, thee ae a vaiety of sponsoship oppotunities available, such as the Welcome Reception and the Dinne & Casino Paty. Please see the enclosed Sponsoship Ageement Fom fo moe infomation. If you need a oom at the Ritz Calton Naples, call o The special oom ate is $167 single/double. Be sue to mention that you ae attending the FASI meeting in ode to eceive the special goup ate. Special FASI oom block ates ae available until June 19, The hotel always sells out ove ou dates. Call now to eseve you oom. The Exhibito Showcase and Buffet Lunch will featue fun and food. You can meet the ight people in a geat envionment. Evey attendee who puchases a full confeence egistation will eceive one complimentay lunch ticket to be used at the Exhibito Showcase. The exhibit schedule is as follows: Sunday, July 19 Exhibit Move-In 12:00 p.m. - 4:30 p.m. Welcome Reception with Exhibitos 6:00 p.m. - 7:30 p.m. Monday, July 20 Continental Beakfast with Exhibitos 8:00 a.m. - 8:45 a.m. Luncheon with Exhibitos 12:00 p.m. - 1:30 p.m. Exhibito Showcase & Pize Dawing 12:00 p.m. - 2:00 p.m. Exhibit Teadown 2:00 p.m. - 3:30 p.m. Once you egiste, a confimation lette with moe detailed infomation will be sent. If you have othe questions about exhibiting, please contact FASI Headquates at Hope to see you in Naples! Sinceely, The FASI Confeence Committee 222 S. Westmonte Dive, Suite 101, Altamonte Spings, FL Fax

3 46th Annual Educational Confeence & Tade Show July 19-22, 2015 Ritz Calton Naples Naples, Floida 1. Company Infomation (As it should appea in the pint mateials - i.e., Guide to the Meeting) (PLEASE PRINT) Company Name Steet Addess City/St/Zip Website Main Telephone Main Fax: 2. Pimay Contact Peson (PLEASE PRINT) Pimay Contact Name: Pimay Title Pimay Telephone Pimay Fax Pimay *Ealy ates ae available until Fiday, May 29. Afte this date, egula ates will apply. 3. Exhibito Showcase Fees Showcase Membe Ealy... $550 Showcase Membe Regula... $700 Showcase Non-Membe Ealy... $650 Showcase Non-Membe Regula... $800 Showcase & Confeence Membe Ealy... $675 Showcase & Confeence Membe... $750 Showcase & Confeence Non-Membe Ealy... $775 Showcase & Confeence Non-Membe... $850 *Showcase Only - Additional $100 each...$ TOTAL $ ELECTRIC/INTERNET NEEDED: Name of Repesentatives City/State *Exhibito paticipation: Two complimentay epesentatives pe booth. $100 pe additional epesentative fo the Showcase only. 4. Payment (All applications/contacts submitted must include full PAYMENT. (Check applicable boxes) AmEx# Visa/MC # Exp. Date Amount to Chage: $ Name of Cadholde Signatue of Cadholde Cedit Cad Billing Addess Same as above Addess City/St/Zip Exhibit space will be assigned by FASI using the following citeia: level of sponsoship, date papewok was eceived, competing companies, and longevity of FASI membeship. You will be notified of you exhibit space befoe the Confeence. We ty to keep competitos sepaated when assigning exhibit space. Please list companies you pefe not to be nea: 6. Acceptance of Binding Contact fo Commecial Suppot We agee to all of the Tems and Conditions fo this event. This application is made by the undesigned, an authoized signatoy of the above-listed company, and constitutes a binding contact with FASI. FASI eseves the ight, in its sole and absolute discetion, to efuse exhibit space to any applicant, o to evoke the ight to display and to eject fom the exhibit hall (o any othe aea ove which FASI execises contol), any peson, business, exhibit o othe exhibito popety. Name: Title: Signatue: Date: Electical Powe Needed (Additional cost will apply) (book though hotel) Intenet Connection Needed (Additional cost will apply) (book though hotel) Doo pize We will povide: No efunds will be made afte Fiday, May 29, A $100 administative fee will be assessed fo all efunds made befoe May 29, SEND COMPLETED FORM TO: Floida Association of Self Insueds, 222 S. Westmonte Dive, #101, Altamonte Spings, FL Phone: , Fax: (cedit cad odes only) FASI Fedeal Tax ID#: OFFICE USE ONLY: Booth #: Date Received: Conf. Lette Sent on: Doc. Date: Mach 2015

4 46th Annual Educational Confeence & Tade Show July 19-22, 2015 Ritz Calton Naples Naples, Floida FASI is excited to offe a multitude of NEW sponsoship oppotunities in 2015! Become a sponso fo the FASI Confeence. By helping defay expenses, sponsos help FASI keep Confeence fees at a lowe level. Depending on the level of sponsoship, FASI sponsos can eceive the following: Sponsoship Packages Level of Sponsoship Cost Desciption Full page ad in on-site pogam and sponso signs Exhibit space at tade show* Confeence egistation fo TWO** Diamond $3,000 Golf egistation fo TWO*** Golf hole sponsoship Fee banne ad on FASI website Oppotunity fo oom upgade Sponsoship ecognition at the Tuesday evening Casino Paty & Dinne Reception Platinum $2,000 Half page ad in on-site pogam and sponso signs Exhibit space at tade show* Confeence egistation fo TWO** Golf egistation fo TWO*** Golf hole sponsoship Fee banne ad on FASI website Oppotunity fo oom upgade Gold $1,500 Quate page ad in on-site pogam and sponso signs Exhibit space at tade show* Confeence egistation fo ONE** Golf egistation fo ONE*** Golf hole sponsoship Fee banne ad on FASI website Oppotunity fo oom upgade Silve $1,000 Sponsoship ecognition in on-site pogam and sponso signs 50% off exhibit space at tade show* Confeence egistation fo ONE** Golf egistation fo ONE*** Golf hole sponsoship Fee banne ad on FASI website *Must complete and etun the enclosed Tade Show Registation Fom. **Must complete and etun the enclosed Confeence Registation Fom. ***Must complete and etun the enclosed Golf Registation Fom.

5 The FASI Confeence Committee has ceated exta maketing and pomotional oppotunities to enhance you oveall sponsoship expeience! These smalle sponsoships can eithe be puchased alone o as a supplement to an existing leveled sponsoship package to bump you company up to the next level. (Fo example, If you puchase a silve level sponsoship package at $1,000, then add a $500 beakfast sponsoship, totaling $1,500, you company will eceive gold level sponsoship ecognition and benefits.) A LA CARTE SPONSORSHIP OFFERINGS Item Cost Desciption Session Sponsoship (9 Available) Lanyad Sponsoship Tote Bag Sponsoship Welcome Reception Sponsoship Beakfast Sponsoship (2 Available) Exhibito Tade Show Luncheon Sponsoship $200 $300 $400 $1,000 $500 $1,000 Sponsoship ecognition in on-site pogam and sponso signs Vebal ecognition fom FASI Boad of Diectos Attendee lanyads with company logo distibuted to each Confeence attendee Sponsoship ecognition in on-site pogam and sponso signs Tote bags with company logo distibuted to each Confeence attendee Sponsoship ecognition in on-site pogam and sponso signs Company logo on koozies and ba napkins at Welcome Reception Ba Sponsoship ecognition in on-site pogam and sponso signs 5 minutes of micophone time at Welcome Reception Confeence egistation fo ONE*** Sponsoship ecognition in on-site pogam and sponso signs Oppotunity fo distibution of pomotional mateials to attendees 5 minutes of micophone time at sponsoed beakfast Sponsoship ecognition in on-site pogam and sponso signs Oppotunity fo distibution of pomotional mateials to attendees 5 minutes of micophone time at Exhibito Tade Show Luncheon Confeence egistation fo ONE*** Cash Contibution $ Sponsoship ecognition in on-site pogam and sponso signs SPONSOR LEVEL/ITEM: TOTAL: $ Name of Company: Contact Name: Addess: City/St/Zip: Phone: Check Enclosed Visa MasteCad AmEx Account # Exp. Date: Cadholde s Name: Signatue: Cedit Cad Billing Addess: Same as Above Addess: City/State/Zip: SEND COMPLETED FORM TO: Floida Association of Self Insueds, 222 S. Westmonte Dive, #101, Altamonte Spings, FL Phone: , Fax: (cedit cad odes only) FASI Fedeal Tax ID#: Fo additional infomation, please contact FASI at at

6 46th Annual Educational Confeence & Tade Show July 19-22, 2015 Ritz Calton Naples Naples, Floida Advetising in the On-Site Pogam gives you company high visibility at the Confeence. Fo additional infomation on advetising in the Confeence On-Site Pogam, please contact Elaine Yok at FASI Headquates ). Outside Back Cove (4-colo)...$750 Inside Font Cove (4-colo)...$450 Inside Half Page (1-colo)...$250 Inside Back Cove (4-colo)...$450 Inside Full Page (1-colo)...$350 High-esolution.jpg,.tiff,.eps (fonts conveted to outlines), and.pdf files ae acceptable. the files to Elaine Yok at Dimensions: 7-1/2" X 10" fo full-page ads; 5-1/2" X 7-1/2" fo half page ads. Deadline: Electonic files must be submitted by June 2, Colo of inside pages (1-colo) will be chosen at the discetion of the publishe. Name of Company: Contact Name: Addess: City/St/Zip: Phone: Ad Size/Colo: Outside Back Cove (4-colo) - $ Inside Back Cove (4-colo) - $ Inside Font Cove (4-colo) - $ Inside Full (1-colo) - $ Inside Half (1-colo) - $ Check Enclosed Visa MasteCad AmEx Account # Exp. Date: Cadholde s Name: Signatue: Cedit Cad Billing Addess: Same as Above Addess: City/State/Zip: Please mail o fax this fom (with payment) to FASI Headquates 222 S. Westmonte D., #101 Altamonte Spings, FL, Fax: Phone: FASI Fedeal Tax ID# th Annual Educational Confeence & Tade Show July 19-22, 2015 Ritz Calton Naples Naples, Floida Ritz Calton-Naples 280 Vandebilt Beach Road Naples, FL Phone: Fax: Resevations must be eceived by the hotel pio to June 19, 2015, to equest the accommodations of you choice. Resevations made afte that date will be confimed on a space availability basis only. When contacting the hotel fo esevations, be sue to mention the FASI oom block. ATTENTION REGISTRANTS: Do you have special needs? If so, please notify the hotel of any special needs you may have involving you sleeping oom o access to public aeas and/ o sevices. Check-in time is 4:00 pm and check-out time is 12:00 pm. Room types ae not guaanteed until confimation is eceived fom the hotel. ROOM RATES: Run of the House - $ plus tax (single/double)

7 SUNDAY, JULY 19, 2015 TIBURON GOLF CLUB 2620 TIBURON DRIVE NAPLES, FLORIDA CHECK-IN AT 7:30 AM SCRAMBLE START AT 8:00 AM DEADLINE TO PARTICIPATE: JUNE 19, 2015 NO REFUNDS AFTER JUNE 19, 2015 GOLF OUTING FEES PER PERSON: On o Befoe June 5, $ Afte June 5, $ Playe #1: FASI Membe? Yes No Company Name: Addess: City/St/Zip: Phone: Fax: Cell: You do not need to have a fousome to egiste we will gladly assign you to a fousome. Please assign me to a fousome. My fousome will include me and: Playe#2: Company: Phone: Playe#3: Company: Phone: Playe#4: Company: Phone: PAYMENT METHOD: TOTAL AMOUNT: Check enclosed Visa MasteCad AmEx Account # Exp. Date: Cadholde s Name: Signatue: Cedit Cad Billing Addess: Same as Above Addess: City/State/Zip: DEADLINE TO PARTICIPATE: JUNE 19, NO REFUNDS AFTER JUNE 19, SEND COMPLETED FORM TO: Floida Association of Self Insueds, 222 S. Westmonte Dive, #101, Altamonte Spings, FL Phone: , Fax: (cedit cad odes only) FASI Fedeal Tax ID# Fo additional infomation, please contact FASI at at

8 SUNDAY, JULY 19, 2015 TIBURON GOLF CLUB 2620 TIBURON DRIVE NAPLES, FLORIDA SIGN UP NOW AS SPONSORSHIPS ARE ON A FIRST-COME, FIRST-SERVED BASIS Contact Name: FASI Membe? Yes No Name to be Shown on Sign: Company Name: Addess: City/St/Zip: Phone: Fax: SPONSORSHIP OPPORTUNITIES Putting Geen Contest & Monito... $50 Pize Included...$500 - One Available Beveage Cat...$500 - Two Available (each) Longest Dive... $50 Pize Included...$175 - Exclusive Closest to the Pin... $50 Pize Included...$175 - Exclusive Longest Putt... $50 Pize Included...$175 - Exclusive Most Accuate Dive... $50 Pize Included...$175 - Exclusive Hole Sponsoship...$100 (each) Othe...$500 Golfe s Goody Bag Item* (fo golfes): Doo Pize*: *Ship goody bag items and/o doo pizes by Fiday, July 10, 2015, to FASI Headquates, 222 S. Westmonte Dive, #101, Altamonte Spings, FL PAYMENT METHOD TOTAL AMOUNT: Check enclosed Visa MasteCad AmEx Account # Exp. Date: Cadholde s Name: Signatue: Cedit Cad Billing Addess: Same as Above Addess: City/State/Zip: In ode fo FASI to povide pope ecognition fo sponsos in the on-site pogam, we must eceive you commitment to sponso no late than June 19, FASI will assign sponsos to the events on a fist-come, fist-seve basis. Commitments must be eceived in witing, eithe by mail o fax, along with payment to be confimed. Thee will be no efunds on sponsoships. SEND COMPLETED FORM TO: Floida Association of Self Insueds, 222 S. Westmonte Dive, #101, Altamonte Spings, FL Phone: , Fax: (cedit cad odes only) FASI Fedeal Tax ID#: Fo additional infomation, please contact FASI at at

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