27.09.2014 Views

Exhibitor and Sponsor Prospectus - Organization for Human Brain ...

Exhibitor and Sponsor Prospectus - Organization for Human Brain ...

Exhibitor and Sponsor Prospectus - Organization for Human Brain ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!