Exhibitor and Sponsor Prospectus - Organization for Human Brain ...
Exhibitor and Sponsor Prospectus - Organization for Human Brain ...
Exhibitor and Sponsor Prospectus - Organization for Human Brain ...
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19th Annual Meeting of the<br />
<strong>Organization</strong> <strong>for</strong> <strong>Human</strong> <strong>Brain</strong> Mapping<br />
June 16-20<br />
Washington State Convention <strong>and</strong> Trade Center<br />
<strong>Exhibitor</strong> <strong>and</strong> <strong>Sponsor</strong> <strong>Prospectus</strong><br />
IMPORTANT DATES | Exhibit Application <strong>and</strong> Deposit Due April 22, 2013 | Exhibit Fee Balance Due May 20, 2013
general in<strong>for</strong>mation 2<br />
Who We Are<br />
The <strong>Organization</strong> <strong>for</strong> <strong>Human</strong> <strong>Brain</strong> Mapping (OHBM)<br />
is the primary international organization dedicated to using<br />
neuroimaging to discover the organization of the human brain.<br />
The organization was created in 1995, <strong>and</strong> due to the explosion in<br />
the field of human functional neuroimaging <strong>and</strong> its movement into<br />
the scientific mainstream, it has evolved into one of the largest<br />
organizations serving the <strong>Brain</strong> Mapping community. One of the<br />
primary functions of the organization is to provide an educational<br />
<strong>for</strong>um that initiates the exchange of up-to-the-minute <strong>and</strong><br />
groundbreaking research across modalities exploring <strong>Human</strong> <strong>Brain</strong><br />
Mapping. It does this through a growing membership <strong>and</strong> an annual<br />
conference held in differing locations throughout the world.<br />
With its tradition of alternating meetings between North America,<br />
Asia <strong>and</strong> Europe, the meeting attracts over 2,500 attendees each year.<br />
The work presented at the conference typically employs brain scanning<br />
techniques such as magnetic resonance imaging, positron emission<br />
tomography, SPECT or methods such as EEG, MEG or Transcranial<br />
magnetic stimulation (TMS). Since the human brain mapping field<br />
is cross-disciplinary, OHBM members <strong>and</strong> attendees range from<br />
neurologists, psychiatrists <strong>and</strong> psychologists to physicists, engineers,<br />
<strong>and</strong> statisticians. Immense growth <strong>and</strong> dramatic new findings<br />
continue to characterize the organization.<br />
table of contents<br />
Invitation to <strong>Sponsor</strong>s. ........................3<br />
<strong>Sponsor</strong>ship Opportunities. ....................4-6<br />
Invitation to <strong>Exhibitor</strong>s . . . . . . . . . . . . . . . . . . . . . . . . 7<br />
Exhibiting at OHBM ...........................8-9<br />
2012 <strong>Sponsor</strong>s <strong>and</strong> <strong>Exhibitor</strong>s List ..............10<br />
OHBM Annual Meeting Fact Sheet ..............11<br />
Application Form .............................12<br />
Meeting Venue<br />
The 19th Annual Meeting of the <strong>Organization</strong> <strong>for</strong> <strong>Human</strong> <strong>Brain</strong> Mapping<br />
will be held in Seattle, WA, USA at the Washington State Convention<br />
Center. The Washington State Convention Center is located in the heart<br />
of Seattle, the jewel of the Pacific Northwest. Numerous choices await<br />
– breweries, museums, trails, ferries, shopping <strong>and</strong> more! It’s a lot of<br />
city in a small space – just waiting <strong>for</strong> you to explore.<br />
Program<br />
The Annual Meeting will have an extensive program of local <strong>and</strong><br />
international speakers, covering a wide range of topics <strong>and</strong> issues,<br />
<strong>and</strong> specifically address the field of human functional neuroimaging<br />
<strong>and</strong> its movement into the scientific mainstream. The focus will be to<br />
gather scientists <strong>and</strong> medical professionals using modern, functional,<br />
brain mapping techniques such as PET, SPECT, fMRI, EEG, MEG, optical<br />
imaging <strong>and</strong> neuroanatomical tools <strong>for</strong> assessment of the functioning<br />
of the human brain. It will include the applications of these techniques<br />
to study brain implementation of sensory <strong>and</strong> motor systems, vision,<br />
attention, memory <strong>and</strong> language in normal <strong>and</strong> pathological states.<br />
For more in<strong>for</strong>mation on the scientific program please visit the<br />
conference website at www.humanbrainmapping.org/OHBM2013.<br />
We invite companies that share our educational goals, wish to<br />
have a presence in this fast-growing, dynamic community<br />
of science <strong>and</strong> who want to have direct contact with<br />
those who are pioneers in neuro-imaging to consider<br />
partnering with us.
INVITATION TO sponsors<br />
3<br />
Dear Industry Professional:<br />
The OHBM Annual Meeting is the premier international meeting<br />
<strong>for</strong> underst<strong>and</strong>ing how the brain supports the mind <strong>and</strong> behavior,<br />
in both health <strong>and</strong> disease. The 2013 OHBM Annual Meeting<br />
being held June 16-20 will bring to Seattle more than 2500<br />
scientists from more than 20 nations who study the organization<br />
of the brain with cutting-edge MRI <strong>and</strong> other imaging methods.<br />
This is a young <strong>and</strong> dynamic field — one that is trans<strong>for</strong>ming<br />
the way we underst<strong>and</strong> the human brain. This meeting is a great<br />
match <strong>for</strong> Seattle, which has a young <strong>and</strong> dynamic character<br />
<strong>and</strong> a reputation <strong>for</strong> innovation <strong>and</strong> technological advancement<br />
<strong>and</strong> entrepreneurism.<br />
We invite you to become involved with the meeting as an<br />
event sponsor. In order to offer the most collaborative <strong>and</strong><br />
interactive marketing opportunities, we offer multi-level<br />
sponsorships that are sure to fit the marketing <strong>and</strong> networking<br />
strategies of your organization.<br />
We look <strong>for</strong>ward to having you become a part of OHBM history<br />
by joining us at the 2013 OHBM Annual Meeting! For further<br />
in<strong>for</strong>mation regarding sponsorship, please contact Sam Fortin at<br />
info@humanbrainmapping.org.<br />
Sincerely,<br />
Susan Bookheimer Peter B<strong>and</strong>ettini Tom Grabowski<br />
University of Cali<strong>for</strong>nia, Los Angeles National Institute of Mental Health University of Washington, Seattle<br />
OHBM Council Chair Scientific Program Committee Chair Local Organizing Committee Chair
GOLD, SILVER & BRONZE SUPPORT OPPORTUNITIES<br />
4<br />
Gold Level<br />
$35,000 USD EACH<br />
Welcome Reception<br />
This event is open <strong>and</strong><br />
complimentary to all meeting<br />
attendees. It offers a casual<br />
atmosphere <strong>for</strong> networking <strong>and</strong><br />
collaboration <strong>and</strong> attracts over<br />
2,500 participants. Your company<br />
logo will appear on table <strong>and</strong><br />
bar signs.<br />
Club Night Party<br />
This event is open <strong>and</strong><br />
complimentary to all meeting<br />
attendees. It offers a casual<br />
atmosphere <strong>for</strong> networking <strong>and</strong><br />
collaboration <strong>and</strong> attracts over<br />
2,500 participants. Your company<br />
logo will appear on table <strong>and</strong><br />
bar signs.<br />
Silver Level<br />
$25,000 USD EACH<br />
Leadership Dinner<br />
Host this exclusive evening that brings together<br />
over 70 of the top leaders in the field of human<br />
brain mapping. Members of OHBM’s Council,<br />
Program Committee, Local Organizing Committee,<br />
our Talairach Lecturer <strong>and</strong> other key members<br />
of the Annual Meeting faculty will be invited to<br />
celebrate the success of the field <strong>and</strong> the<br />
Annual Meeting.<br />
Coffee Break<br />
Host a coffee break following the session of<br />
your choice. Over 2,500 attendees will see your<br />
company’s name/logo on buffet signs <strong>and</strong> cocktail<br />
napkins provided by the supporting company.<br />
Internet Café<br />
Support assists the organization in offering<br />
complimentary wireless internet access to all<br />
meeting attendees in designated areas of the<br />
conference space. Your company logo will appear<br />
on the screensaver of all internet café workstations.<br />
Poster Social<br />
Host one of our popular poster socials.<br />
Over 2,500 attendees will see your company’s<br />
name/logo on buffet signs.<br />
Bronze Level<br />
$15,000 USD<br />
Online Library<br />
Support assists the organization in offering complimentary<br />
access to recordings <strong>and</strong> slides from the Scientific Program<br />
to all meeting attendees. Support of this item includes a web<br />
banner (artwork provided by supporting company) displayed<br />
on Online Library home page<br />
Meeting Lanyards<br />
All registered attendees will receive a name badge <strong>and</strong><br />
lanyard which must be worn at all times during the meeting.<br />
Your company logo can be placed on lanyard. Note that<br />
the Lanyards will be supplied by the sponsoring company<br />
(artwork <strong>and</strong> product to be approved by OHBM).<br />
Meetings Pads <strong>and</strong> Pens<br />
Your pads <strong>and</strong> pens will be distributed to all meeting<br />
attendees as a lasting reminder of the Annual Meeting. These<br />
items can have your company name/logo overprinted in<br />
accordance with OHBM’s st<strong>and</strong>ards. Note that the Meeting<br />
Pads <strong>and</strong> Pens will be supplied by the sponsoring company.<br />
E-Posters<br />
OHBM will feature the ability <strong>for</strong> all poster presenters at the<br />
meeting the opportunity to upload an electronic version of<br />
their poster which will be accessible online to all attendees.<br />
Your company name/logo (artwork provided by supporting<br />
company) will be displayed on the E-Posters homepage.
Based on level of sponsorship, support of the<br />
OHBM meeting includes the following benefits:<br />
5<br />
Gold<br />
Supporter<br />
Silver<br />
Supporter<br />
Bronze<br />
Supporter<br />
$35,000 USD $25,000 USD $15,000 USD<br />
The inclusion of your company name <strong>and</strong> logo in the<br />
Final Annual Meeting Program<br />
x x x<br />
Exposure <strong>and</strong> acknowledgement as a Supporter of the<br />
Annual Meeting in major marketing activities <strong>and</strong> onsite signage<br />
x x x<br />
Inclusion of your logo <strong>and</strong> company name on the<br />
Annual Meeting website with a link to your own website<br />
x x x<br />
Company logo to appear on electronic Supporter slides in<br />
Annual Meeting Opening <strong>and</strong> Closing Sessions<br />
x x x<br />
Recognition during the Annual Meeting opening <strong>and</strong> closing<br />
ceremony <strong>and</strong> at appropriate times throughout the meeting<br />
x x x<br />
Complimentary Scientific Program registration to the meeting<br />
<strong>for</strong> all sessions, coffee breaks, <strong>and</strong> poster socials<br />
4 2 –<br />
Complimentary invitation to the Welcome Reception <strong>for</strong><br />
company representatives<br />
4 2 –<br />
Complimentary invitation to the Leadership Dinner <strong>for</strong><br />
company representatives<br />
2 1 –
OTHER SPONSORSHIP OPPORTUNITIES<br />
6<br />
Mobile App<br />
The Annual Conference Mobile App to allow attendees to have mobile<br />
access to conference in<strong>for</strong>mation including the session program,<br />
abstracts, speaker in<strong>for</strong>mation, links to social media, last minute<br />
updates <strong>and</strong> more. Mobile App sponsorships are limited <strong>and</strong> given<br />
on a first come first serve basis. The opportunities include:<br />
Overall App <strong>Sponsor</strong>ship ($5,000 USD)<br />
• Logo on secondary splash page<br />
• App Store screen shot<br />
• Included banner ad & l<strong>and</strong>ing page<br />
• Included video package<br />
• Highlighted row on exhibitor list<br />
• Weighted banners<br />
Multimedia Ad Package ($2,000 USD each)<br />
This package includes a rotating banner ad seen on the mobile app’s<br />
Dashboard that leads to a full-screen app l<strong>and</strong>ing page, <strong>and</strong> then to<br />
the company’s exhibitor listing page, from where a video message<br />
can be launched.<br />
Banner Ad/L<strong>and</strong>ing Page Ad Package ($1,000 USD each)<br />
Promote your company’s message with a rotating banner ad seen<br />
on the Mobile App’s Dashboard. When tapped, the user is taken to<br />
a full-screen app l<strong>and</strong>ing page showing product or service graphics<br />
<strong>and</strong> in<strong>for</strong>mation. This page then leads a user to the company’s<br />
exhibitor listing page.<br />
Industry <strong>Sponsor</strong>ed Event<br />
If you are interested in hosting an Industry <strong>Sponsor</strong>ed Event at the<br />
Annual Meeting, please go to www.humanbrainmapping.org/<br />
OHBM2013 <strong>for</strong> guidelines <strong>and</strong> application. Industry <strong>Sponsor</strong>ed<br />
Events are assigned on a first come first serve basis. Space is limited.<br />
Speaker Travel Support<br />
Support travel fees <strong>for</strong> OHBM’s Talairach <strong>and</strong> Keynote Speakers.<br />
Please note that this sponsorship option is available only <strong>for</strong><br />
non-industry supporters (e.g. academic universities). Contact the<br />
OHBM Executive Office at info@humanbrainmapping.org if you<br />
are interested in supporting speaker travel.<br />
Other Ideas?<br />
OHBM is open to discussing ways to tailor our sponsorship<br />
program to meet your needs. If you have other financial<br />
support ideas that you would like the OHBM Executive Office<br />
to consider, please contact info@humanbrainmapping.org.
INVITATION TO EXHIBITors<br />
7<br />
Dear Industry Professional:<br />
On behalf of the <strong>Organization</strong> <strong>for</strong> <strong>Human</strong> <strong>Brain</strong> Mapping (OHBM),<br />
we invite you to participate in our 19th Annual Meeting in<br />
Seattle, WA, USA, June 16-20, 2013 where you can showcase your<br />
product or service by participating as an <strong>Exhibitor</strong>. You will be<br />
able to interact with over 2,500 neuroscience professionals from<br />
across the world that specialize in neuro-imaging research.<br />
The OHBM Annual Meeting brings together professionals who<br />
want to keep abreast of industry changes, new technologies <strong>and</strong><br />
fresh ideas, <strong>and</strong> who are typically decision-makers when it comes<br />
to purchasing new equipment <strong>for</strong> brain imaging laboratories.<br />
You’ll have ample opportunity to share your expertise as you<br />
visit one-on-one with these key decision makers.<br />
This <strong>Exhibitor</strong> <strong>Prospectus</strong> details ways to secure your booth<br />
at this “must attend” event. We encourage you to act<br />
quickly — space is limited.<br />
We look <strong>for</strong>ward to having you join us at the 2013<br />
OHBM Annual Meeting!<br />
For further in<strong>for</strong>mation regarding Exhibiting, please contact<br />
Sam Fortin at info@humanbrainmapping.org.<br />
Sincerely,<br />
Susan Bookheimer Peter B<strong>and</strong>ettini Tom Grabowski<br />
University of Cali<strong>for</strong>nia, Los Angeles National Institute of Mental Health University of Washington, Seattle<br />
OHBM Council Chair Scientific Program Committee Chair Local Organizing Committee Chair
EXHIBITING AT OHBM<br />
8<br />
Benefits of Exhibiting<br />
• Exposure to over 2,500 leaders in neuro-imaging research;<br />
• Promotion as an exhibitor via company name <strong>and</strong> description listed<br />
in the onsite program <strong>and</strong> OHBM website;<br />
• Attendee list provided in excel <strong>for</strong>mat, including names <strong>and</strong><br />
addresses, will be provided after the meeting.<br />
Exhibit In<strong>for</strong>mation<br />
The Washington State Convention <strong>and</strong> Trade Center has an excellent<br />
conference facility with meeting rooms, exhibition areas, <strong>and</strong> posters<br />
all in close proximity to one another. The exhibit hall will host coffee<br />
breaks <strong>and</strong> be the main networking area <strong>for</strong> attendees.<br />
OHBM is currently securing an exhibit decorator <strong>for</strong> the 2013 meeting.<br />
Shipping in<strong>for</strong>mation, the Exhibit Service Kit, Rules <strong>and</strong> Regulations, as<br />
well as the specifics regarding booth size will be posted on the OHBM<br />
website <strong>and</strong> emailed to your company representative when available.<br />
Exhibit Payment<br />
The cost of each exhibit booth space is $4,000 USD.<br />
An application <strong>and</strong> deposit of $2,000 USD per booth space<br />
is due on April 22, 2013. The balance is due on or be<strong>for</strong>e<br />
May 20, 2013. Please note that the exhibit booth fee is<br />
<strong>for</strong> the space only – exhibitors are responsible <strong>for</strong> all<br />
shipping <strong>and</strong> furniture fees.
Exhibiting AT OHBM, continued<br />
9<br />
Nonprofit <strong>Organization</strong>s<br />
Nonprofit organizations are eligible <strong>for</strong> a discounted booth or a<br />
table top. Interested organizations must submit a letter on company<br />
letterhead to OHBM either by mail, FAX or email requesting reduced<br />
booth fees. The letter must include a description of the organization as<br />
well as why it is considered a non-profit organization.<br />
• Discounted Booth Space – $2,000<br />
If approved <strong>for</strong> a discounted booth space, you will receive an exhibit<br />
space within the rest of the exhibitors. Booth spaces are limited <strong>and</strong><br />
the reduced rate will be approved on a first come, first serve basis.<br />
• Table Tops – Gratis<br />
If approved <strong>for</strong> a table top, you will be given a 6ft or 8ft table with<br />
two chairs. Table tops are limited <strong>and</strong> will be approved on a first come,<br />
first serve basis.<br />
Exhibit Space Assignment<br />
Space is assigned on a point system. Points are rewarded based on<br />
current <strong>and</strong> past sponsorship, the numbers of years your company has<br />
attended the OHBM conference, <strong>and</strong> the order in which applications<br />
are received. Space is limited, so be sure to complete <strong>and</strong> return your<br />
application immediately. Your booth assignment will be emailed to your<br />
company representative following the exhibit application deadline.<br />
Contract <strong>for</strong> Space<br />
The order <strong>for</strong> a booth(s) (upon acceptance by the OHBM) assignment<br />
of space, <strong>and</strong> the payment of rental charges constitute a contract <strong>for</strong><br />
rental of the space assigned. Any exhibitor failing to occupy space is<br />
not relieved of the obligation to pay the full rental price. If not occupied<br />
by the time set <strong>for</strong> completion of display installation, such space may<br />
be repossessed by the OHBM. Said contract will not be binding upon<br />
the OHBM in the event of strikes or other circumstances beyond the<br />
OHBM’s control.<br />
It is agreed that:<br />
(a) If a company cancels its space on or be<strong>for</strong>e May 20, 2013 it will<br />
be responsible <strong>for</strong> paying the amount of the deposit.<br />
(b) If a cancellation occurs after May 20, 2013, the company will be<br />
responsible <strong>for</strong> paying the full cost of the booth space.<br />
Certificate of Insurance<br />
The OHBM does not provide liability or property damage insurance<br />
<strong>for</strong> exhibitor’s property. <strong>Exhibitor</strong>s will be responsible <strong>for</strong> adequately<br />
insuring their exhibit materials, goods, <strong>and</strong>/or equipment against theft,<br />
damage by fire, accident or loss of any kind, but will not be required to<br />
submit a certificate of insurance to the OHBM.<br />
Meeting Cancellation<br />
It is mutually agreed that in the event of cancellation of the 2013<br />
Exhibits due to fire, strikes, government regulations, or causes which<br />
would prevent its scheduled opening or continuance, then <strong>and</strong><br />
thereupon, this agreement will be terminated, <strong>and</strong> the<br />
Executive Council of the OHBM, in conjunction with the<br />
Local Organizing Committee, shall determine an<br />
equitable basis <strong>for</strong> the refund of such portion of the<br />
exhibit fee as is possible, after consideration of<br />
expenditures <strong>and</strong> commitments already made.
2012 <strong>Sponsor</strong>s 2012 <strong>Exhibitor</strong> List<br />
10<br />
AllTech Medical Systems<br />
<strong>Brain</strong> Innovation<br />
Cambridge Research Systems<br />
Electrical Geodesics, Inc.<br />
GE Healthcare<br />
Philips<br />
Psychology Press<br />
Siemens Healthcare<br />
Wiley-Blackwell<br />
Beijing Normal University<br />
University of Hong Kong<br />
Chinese Academy of Sciences<br />
AllTECH Medical Systems<br />
ANT Neuro<br />
Artinis Medical Systems b.v.<br />
Australasian Cognitive<br />
Neuroscience Society<br />
Avotec, Inc.<br />
Beijing Psyche-Ark 1, Science<br />
Technology Development Co. Ltd<br />
BESA GmbH<br />
<strong>Brain</strong> Innovation BV<br />
<strong>Brain</strong> Products<br />
Cambridge Research Systems<br />
Cedrus Corporation<br />
Compumedics Neuroscan<br />
Electrical Geodesics, Inc. (EGI)<br />
Elekta Oy<br />
Elsevier<br />
g.tec Guger Technologies OG<br />
GE Healthcare<br />
Hitachi Medical Corporation<br />
<strong>Human</strong> Connectome Project (HCP)<br />
Institute of Automation, CAS<br />
John Wiley & Sons<br />
LOCALITE GmbH<br />
The Magstim Company<br />
Magventure A/S<br />
Mega Electronics Ltd.<br />
NIRx Medical Technologies<br />
NordicNeuroLab<br />
Psychology Software Tools, Inc.<br />
Resonance Technology, Inc.<br />
Rogue Research Inc.<br />
Rogue Resolutions<br />
Shenzen Sinorad Medical<br />
Electronics, Inc.<br />
Shimadzu Corporation<br />
Siemens Healthcare<br />
SR Research Ltd<br />
Suzhou Anke Medical<br />
System Co., Ltd.
OHBM Annual Meeting Fact Sheet<br />
11<br />
Meeting 18 TH Annual Meeting – 2012 17 TH Annual Meeting – 2011 16 TH Annual Meeting – 2010<br />
Location Beijing, China Quebec City, Canada Barcelona, Spain<br />
Date June 10-14, 2012 June 26-30, 2011 June 6-10, 2010<br />
Number of Attendees 2303 2376 3488<br />
• Full Members 582 738 1069<br />
• Student Members* 953 923 1225<br />
• Non-Members 298 256 592<br />
• Student Non-Members* 350 334 447<br />
• Gratis 120 125 155<br />
Countries Represented 47 42 47<br />
Australia, Austria, Belgium, Brazil, Canada, Chile,<br />
China, Colombia, Cuba, Cyprus, Czech Republic,<br />
Denmark, Finl<strong>and</strong>, France, Germany, Grenada,<br />
Hong Kong, Hungary, India, Iran, Irel<strong>and</strong>,<br />
Israel, Italy, Japan, Kuwait, Malaysia, Mexico,<br />
Mongolia, Netherl<strong>and</strong>s, New Zeal<strong>and</strong>, Norway,<br />
Pol<strong>and</strong>, Portugal, Republic of Korea, Romania,<br />
Russia, Saudi Arabia, Singapore, Slovenia, South<br />
Africa, Spain, Sweden, Switzerl<strong>and</strong>, Chinese<br />
Taipei, United Kingdom, United States Minor<br />
Outlying Isl<strong>and</strong>s, United States<br />
Australia, Austria, Belgium, Brazil, Canada,<br />
Chile, China, Croatia, Cuba, Cyprus, Czech<br />
Republic, Denmark, Finl<strong>and</strong>, France,<br />
Germany, India, Iran, Irel<strong>and</strong>, Israel, Italy,<br />
Japan, Korea, Republic Of, Malaysia,<br />
Mexico, Netherl<strong>and</strong>s, New Zeal<strong>and</strong>,<br />
Norway, Pol<strong>and</strong>, Portugal, Romania,<br />
Singapore, South Africa, Spain, Suriname,<br />
Sweden, Switzerl<strong>and</strong>, Taiwan, Turkey,<br />
United Kingdom, United States<br />
Exhibit Booths 41 49 40<br />
<strong>Sponsor</strong>s 11 6 7<br />
Abstracts Submitted 2229 2246 3173<br />
Sessions 50 50 56<br />
• Educational Courses 6 6 6<br />
• Symposia 4 4 4<br />
• Morning Workshops 16 16 16<br />
• Oral Sessions 16 16 22<br />
• Keynote/Talairach Lectures 8 8 8<br />
*Graduate students, medical students, residents, <strong>and</strong> fellows are eligible <strong>for</strong> the student registration rate.<br />
Australia, Austria, Belgium, Brazil, Cameroon,<br />
Canada, Chile, China, Colombia, Croatia, Cuba,<br />
Cyprus, Czech Republic, Denmark, Dominican<br />
Republic, Finl<strong>and</strong>, France, Germany, Hong<br />
Kong, India, Iran, Irel<strong>and</strong>, Israel, Italy, Japan,<br />
Republic of Korea, Luxembourg, Malaysia,<br />
Mexico, Netherl<strong>and</strong>s, New Zeal<strong>and</strong>, Norway,<br />
Pol<strong>and</strong>, Portugal, Romania, Russia, Saudi<br />
Arabia, Singapore, Slovenia, South Africa,<br />
Spain, Sweden, Switzerl<strong>and</strong>, Taiwan, Turkey,<br />
United Kingdom, United States
<strong>Exhibitor</strong>/<strong>Sponsor</strong>ship ApplicATION Form<br />
Company In<strong>for</strong>mation<br />
Please note: All acknowledgements of your company <strong>and</strong> listing of company name <strong>and</strong> address will be generated from the following in<strong>for</strong>mation.<br />
<strong>Sponsor</strong>ship Opportunities<br />
Club Night Party ($35,000)<br />
Company Name<br />
Address 1<br />
Address 2<br />
City<br />
Postal/Zip Code<br />
Country<br />
Company Phone<br />
Company Email<br />
Website<br />
Welcome Reception ($35,000)<br />
Leadership Dinner ($25,000)<br />
Coffee Break ($25,000)<br />
Internet Cafe ($25,000)<br />
Poster Social ($25,000)<br />
Online Library ($15,000)<br />
Company Representative In<strong>for</strong>mation<br />
Contact Name<br />
Phone<br />
Email<br />
Exhibiting<br />
Total number of booths requested<br />
Amount to be charged on card<br />
Deposit <strong>for</strong> each booth ($2,000) Full amount <strong>for</strong> each booth ($4,000) Nonprofit Booth ($2,000) Nonprofit Table Top (Gratis)<br />
Meeting Lanyards ($15,000)<br />
Meeting Pads <strong>and</strong> Pens ($15,000)<br />
E-Posters ($15,000)<br />
Mobile App: Overall App <strong>Sponsor</strong>ship<br />
($5,000 USD)<br />
Mobile App: Multimedia Ad Package<br />
($2,000 USD each)<br />
Mobile App: Banner Ad/L<strong>and</strong>ing Page<br />
Ad Package ($1,000 USD each)<br />
Total Exhibit Booth Amount<br />
Payment In<strong>for</strong>mation<br />
<strong>Sponsor</strong>ship Payment: A 50% non-refundable deposit must be received be<strong>for</strong>e this application will be processed. Balance to be paid by May 20, 2013.<br />
Exhibit Payment: Exhibit Booth deposit is due by April 22, 2013. Balance to be paid by May 20, 2013.<br />
Total Amount Due<br />
Gold <strong>Sponsor</strong>ship = $35,000<br />
Silver <strong>Sponsor</strong>ship = $25,000<br />
Bronze <strong>Sponsor</strong>ship = $15,000<br />
Total <strong>Sponsor</strong>ship Amount<br />
We would like to use the following credit card <strong>for</strong> payment: Mastercard Visa AMEX<br />
Credit Card No. Exp. Date Name on Card<br />
Enclosed is our check made payable to OHBM Check #<br />
Signature<br />
Date<br />
Please return the completed <strong>for</strong>m by faxing to 952-545-6073, scanning to info@humanbrainmapping.org, or mailing to the address below.<br />
<strong>Organization</strong> <strong>for</strong> <strong>Human</strong> <strong>Brain</strong> Mapping<br />
5841 Cedar Lake Road, Suite 204 | Minneapolis, MN 55416 | Phone: 952-646-2029 | Fax: 952-545-6073 | Email: info@humanbrainmapping.org<br />
Apply online at www.humanbrainmapping.org/Exhibit2013