2023 Annual Meeting Exhibitor Registration

JUNE 2-4 2023
SUN MOUNTAIN RESORT – WINTHROP, WA

Please complete the form below to exhibit at the 2023 Annual Meeting
or…
Maximize Your Presence …
Take Advantage of these Superior Exhibitor Opportunities!

OPPORTUNITIES AVAILABLE:

Diamond Supporter: official sponsor of Saturday evening banquet | $5,000

Only 1 Available

Official sponsor of the Saturday evening banquet
Verbal recognition throughout the meeting; on each morning introduction
Featured acknowledgement in signage, on the electronic syllabus and on the WSPS website
Poster with your logo posted in dining area
Early access to WSPS Annual Meeting attendee list
Attendance for 4 reps
1 complimentary email to WSPS Members on your companies behalf Emailed out by WSPS-to promote a dinner program, webinar, CME event)
Access to Lectures (please either remove or turn your nametag over) and Receptions
Booth in the exhibitor hall

Gold Supporter: official sponsor of the Friday night reception | $4,000

Only 1 available

Official sponsor of the Friday night reception
Only vendor allowed to attend reception
Verbal recognition on Saturday morning
Featured acknowledgement in signage, on the electronic syllabus
Early access to WSPS Annual Meeting attendee list
Attendance for 3 reps
Access to Lectures (please either remove or turn your nametag over) and Receptions
Booth in the exhibitor hall

Silver Supporter: Breakfast Sponsor | $3,000 each

2 Available (Saturday or Sunday Breakfast Sponsor)

Official sponsor of the Saturday or Sunday morning Breakfast
Verbal recognition at the meeting by the moderator
Acknowledgement in signage & on the electronic syllabus
Attendance for 2 reps
Access to Lectures (please either remove or turn your nametag over) and Receptions
Booth in the exhibitor hall

Bronze Supporter: official break sponsor | $2,000 each

2 Available (Saturday or Sunday Break Sponsor)

Official sponsor of the Saturday or Sunday break
Verbal recognition at the meeting by moderator
Acknowledgement in signage & on the electronic syllabus
Attendance for 2 reps
Access to Lectures (please either remove or turn your nametag over) and Receptions
Booth in the exhibitor hall

Booth Only | $1,500 early bird each / $1,600 regular each

2 Available (Saturday or Sunday Break Sponsor)

Your 2023 Package includes the following:

Complimentary, priority table top space (valued at $1,500)
Verbal recognition at the meeting, print acknowledgements in the conference syllabus, and posters at the sponsored event. Copy link and logo on website thru 2022.
Complimentary reception, continental breakfasts, breaks, lunches and Saturday dinner for two reps

Hidden
Today's Date
MM slash DD slash YYYY
Company Information
Company Name*
Company Website
2023 Annual Meeting Exhibiting Rate
- Exhibit Booth Space Only - $1,600.00
- Diamond Supporter - $5,000.00
- Gold Supporter - $4,000.00
- Silver Supporter | Breakfast Sponsor - $3,000.00
- Bronze Supporter | Break Sponsor - $2,000.00
Administrative Contact
Admin Contact Name*
First Last
Admin Contact Title
Admin Contact Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Admin Contact Phone
Admin Contact Email*
Representatives Staffing Your Booth
(This Information will be published and distributed to attendees.)
Primary Representative Staffing Your Booth Name
First Last
Primary Representative Title
Primary Representative Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Representative Phone
Primary Representative Email*
Representatives staffing your booth (two vendor ticket packages are included)
Booth Rep #2 Name
First Last
You may purchase additional booth representative ticket packages for $150 each.
Additional Booth Representatives
Two provided with exhibit package - Each additional booth rep is $150 each.
Booth Rep #3 Name
First Last
Booth Rep #4 Name
First Last
Additional Information
Product/ service to be displayed
50 Word Description of Your Company to be included in the E-Syllabus for the Meeting
Please Indicate Companies You Desire NOT to Be Located Adjacent to (i.e. Competitor)
To add an additional competitor, click the (+) to the right.
Exhibitor Agreement Payment
WASHINGTON STATE MEDICAL ASSOCIATION AGREEMENT FOR EXHIBITS AND COMMERCIAL PROMOTION AT CME ACTIVITIES*
_________________________ (“Company”), a Commercial Interest, hereby agrees to the following in conjunction with a CME activity accredited by the WSMA and, if applicable, the joint provider ____________________ (“Joint Provider”):
1. Arrangements for commercial exhibits and/or promotional activities cannot influence planning, delivery, or evaluation of the education; interfere with the presentation; and cannot be a condition of the provision of commercial support for the CME activity.
2. Exhibit and/or promotional activity fees are not considered commercial support of the CME activity and will not be acknowledged as educational grants, which require a separate letter of agreement.
3. The Company must provide all funds to the WSMA, or, when applicable, to its Joint Provider, for distribution.
4. Live (staffed exhibits, presentations) or enduring (printed or electronic advertisements) promotional activities must be kept separate from CME.
5. Social events or promotional activities at the CME activity cannot compete with or take precedence over the CME activity. Industry sponsored social events or promotional activities, including Company-sponsored social events or promotional activities, must be approved by the WSMA, even if the events are off-site.
6. The WSMA reserves the right to refuse exhibit space or promotional activity space for any reason. The WSMA reserves the right to close an exhibit or promotional activity for any reason. In addition, any representatives of Company who conduct themselves unethically or outside the guidelines provided by the WSMA may be asked to remove their Company’s exhibit. The Joint Provider can exercise these rights on behalf of the WSMA if the WSMA is not present.
7. Adherence to Guidelines – It is the responsibility of Company to distribute the guidelines below to all Company representatives attending the CME activity and/or working the exhibit space.
Company agrees that its actions, and the actions of its representatives, shall not violate the following guidelines:
1. Product-promotion materials or product specific advertisement of any type is prohibited in or during CME activities.
2. Advertisements and promotional materials cannot be displayed or distributed in the educational space 30 minutes before or after the CME activity.
3. Educational materials that are used during a CME activity (such as slides, abstracts, handouts, evaluation mechanisms, or disclosure information) cannot contain any marketing produced by or for a commercial interest, including corporate logos, tradenames, or product group messages.
4. Representatives of Company can attend the CME activity at the discretion of the WSMA or Joint Provider but cannot engage in sales or promotional activities while in the space of the CME activity as determined by the WSMA or Joint Provider, if applicable, consistent with ACCME guidance.
5. Representatives of Company must remove their company name badges and anything with a corporate logo, tradename or a product group
  message while in the educational space of the CME activity.
6. Representatives of Company cannot act as agents providing CME to learners.
Sharing Learner Information
The WSMA will not share the names or contact information of learners with any commercial interest or its
agents without the explicit consent of the individual learner.

Conditions & Guidelines Agreement Statement: The Company, WSMA and its Joint-Provider (if applicable)
agree to abide by all requirements of the ACCME Standards for Integrity and Independence for Accredited Continuing Education.

Duration: This agreement shall remain in effect until one or more parties terminate the agreement in writing.

Execution by Counterparts: This Agreement may be executed in any number of counterparts, each of which when executed and delivered shall constitute a duplicate original, but all counterparts together shall constitute a single Agreement.
- I agree to the Washington State Medical Association Agreement for Exhibits and Commercial Promotion at CME Activities
Please scroll down to read all the agreement.
Coupon
TOTAL
$0.00
Payment Type
- Credit Card
- Check
Check Number*
CREDIT CARD

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Exhibitors inviting attendees to outside events during scheduled meeting events will not be tolerated.

You will not be invited to return to future WSPS events.

INQUIRIES
Contact Cailey Nickerson, Association Executive, at the WSPS Office at 206-956-3648 or email admin@wasocietyofplasticsurgeons.org.

Promoting dialogue & fellowship amongst the plastic surgeons of Washington state

Promoting dialogue & fellowship amongst the plastic surgeons of Washington state

2023 Annual Meeting Exhibitor Registration

Diamond Supporter: official sponsor of Saturday evening banquet | $5,000

Only 1 Available

Gold Supporter: official sponsor of the Friday night reception | $4,000

Only 1 available

Silver Supporter: Breakfast Sponsor | $3,000 each

2 Available (Saturday or Sunday Breakfast Sponsor)

Bronze Supporter: official break sponsor | $2,000 each

2 Available (Saturday or Sunday Break Sponsor)

Booth Only | $1,500 early bird each / $1,600 regular each

2 Available (Saturday or Sunday Break Sponsor)

2023 Annual Meeting Exhibitor Registration

Company Information

Administrative Contact

Representatives Staffing Your Booth

Representatives staffing your booth (two vendor ticket packages are included)

Additional Information

Exhibitor Agreement Payment