2012 CANADIAN HOSPICE PALLIATIVE CARE CONFERENCE

The Canadian Hospice Palliative Care Conference is taking a year off from the traditional 4 day abstract-driven conference. This year, the Canadian Hospice Palliative Care is hosting a Learning Institute concentrating on four intermediate and advanced learning streams.

The Learning Institute will take place June 1, 2 and 3 2012 in Banff, Alberta, at the Banff Centre. The learning institute will provide the best and brightest in the Hospice Palliative Care field and other allied healthcare professionals with the opportunity to advance their skills and share their expertise. Over 30 intimate and intensive workshops and satellite meetings will be attended by doctors, nurses, pharmacists, researchers, caregivers, volunteers and social workers.
 
This learning institute is an opportunity not to be missed as a sponsor, exhibitor and advertiser. Highlight your organization’s commitment to those involved in hospice palliative care. And celebrate the compassion of health practitioners and others from across Canada who work to improve healthcare for all Canadians.
 
If you have any questions or require further information, please contact Caroline Kayll at 1-800-668-2785 ext. 224 or 613-241-3663 ext. 224 or e-mail ckayll@bruyere.org.

ORGANIZATION DETAILS

Organization Name

(as it should appear on all sponsorship/exhibitor acknowledgements)

Booth name to appear in syllabus

Type of product or service

Name

Title

Address

City

Province AB BC MB NB NL NS NT NU ON PE QC SK YT

Other, i.e. state

Country

Postal Code

Telephone x.

Language Preference francais English

Fax

Email

Website

EXHIBITOR OPPORTUNITIES LEVEL INVESTMENT CONFIRMED SPONSORSHIP/EXHIBITOR LEVEL (CHECK ALL THAT APPLY) Governmental / For Profit $2,000 on or before February 29, 2012 $2,200 after CAD # of booths: 1 2 3 4 5 6 7 8 9 10 Not-for-profit $600 on or before February 29, 2012 $800 after CAD # of booths: 1 2 3 4 5 6 7 8 9 10 The CHPCA reserves the right to assign exhibit space at its own discretion. SPONSORSHIP OPPORTUNITIES Partner Level - Learning Stream Sponsor* $15,000 CAD Yes Partner Level - Satellite Symposium Sponsor* $10,000 CAD Yes Compassion Level $12,500 CAD Yes Dignity Level $10,000 CAD Yes Comfort Level $5,000 CAD Yes Opening Reception $10,000 CAD Yes Internet Café $7,000 CAD Yes Refreshment Break $2,000 CAD Yes ADVERTISING OPPORTUNITIES Inside back cover - Full colour full page $1,200 CAD Yes Full page within program (B&W) $800 CAD Yes Full page within program - Full colour $1,000 CAD Yes Half page within program (B&W) $500 CAD Yes Half page within program - Full colour $700 CAD Yes Quarter page (B&W) $300 CAD Yes Business card size (B&W) $150 CAD Yes Insert in conference tote bag $1,000 CAD Yes
PAYMENT DETAILS
Limitation on Partner Level Sponsorships *Spaces are limited for partner level sponsorship. Please CLICK HERE to download the 2012 Learning Institute Sponsorship and Exhibitor package to find out more. Early Bird Rates To receive early bird exhibitor rates, completed application form and payment must be received by the CHPCA on or before February 29th, 2012.

Fees and Payment
SPONSORSHIP/EXHIBITOR AMOUNT		CAD
0% GST		CAD
TOTAL AMOUNT DUE		CAD

Method of Payment

Credit Card
Cheque
Money Order




Contract
I acknowledge and agree to 2012 Conference Exhibitor - Terms and Conditions. Please Click here for the Exhibitor Terms and Conditions

I Agree


Sponsorship/Exhibitor Registration Cancellation Policy
In the event that you must cancel your sponsorship/exhibitor registration, the Canadian Hospice Palliative Care Association must receive written notice of cancellation by fax or email. Requests should be submitted to:

Caroline Kayll
Partnerships and Development
Canadian Hospice Palliative Care Association
Annex D, Saint Vincent Hospital
60 Cambridge Street,
Ottawa, ON K1R 7A5
1-800-668-2785 ext 224
613-241-3663 ext 224
ckayll@bruyere.org
www.chpca.net

Cancellation Requests Received:

On or before April 1st, 2012 75% refund

April 1st, 2012 April 27th, 2012 50% refund

On or after April 27th, 2012, No refund

If your sponsorship/exhibitor registration fee was paid by credit card the credit card will be refunded. If your sponsorship/exhibitor registration paid was paid by cheque or money order, you will receive a refund cheque in the mail.

Prior to April 27, 2012 refunds will be processed within 30 days of receiving the request. All refund requests received after April 27, 2012 will be processed before July 30th, 2012.


I have read and understand the Canadian Hospice Palliative Care Conference Sponsorship/Exhibitor Registration Cancellation Policy.