Download the Exhibitor Invitation and Application (PDF) - AMERSA

Association for Medical Education and Research in Substance Abuse
36th Annual National Conference
November 1-3, 2012
DoubleTree Hotel, Bethesda, MD
Call for Exhibitors
AMERSA, founded in 1976, is a multidisciplinary organization of health care professionals
dedicated to improving education in the care of individuals with substance abuse problems.
Reach a multidisciplinary audience of health professionals dedicated to
improving education and research for individuals with substance abuse problems.

2012 AMERSA National Conference
Exhibitor Package
AMERSA’s 36th National Conference - November 1-3, 2012
DoubleTree Hotel, Bethesda, MD
We cordially invite you to connect with a diverse group of health professionals from around the country when
you exhibit at AMERSA’s 36th Annual National Conference. Your exhibit provides an excellent opportunity to
present information on your organization and develop new contacts. Conference participants will visit the displays
throughout the day and during the welcome reception, poster session, continental breakfasts, and morning and
afternoon breaks. If you are interested in exhibiting, please complete the application form and return it along
with your payment by July 31st. Tabletop exhibits are on a first-come, first serve basis. Fees must be paid in advance
and are nonrefundable.
Exhibit Schedule
Set-up: Thursday, November 1, before 9:00 am
Opening: Thursday, November 1, 8:00 am - 6:00 pm
Friday, November 2, 8:00 am -5:00 pm
Saturday, November 3, 8:00 am - 12:00 noon
Dismantle: Saturday, November 3 after 12 noon
Ship Exhibit Packages to:
Doreen MacLane-Baeder/Conference Coordinator
AMERSA National Conference
c/o DoubleTree Hotel Bethesda
8120 Wisconsin Avenue
Bethesda, MD 20814
Event Date: November 1-3, 2012
Security Requirements:
Neither AMERSA nor the Doubletree Hotel will assume liability for loss of merchandise or damage to exhibitor’s
property. The exhibitor assumes the entire responsibility and liability for losses, damages, and claims arising out
of injury or damage to exhibitors’ displays, equipment, and other property brought on the premises of the hotel
and shall indemnify and hold harmless AMERSA, the DoubleTree Hotel, their agents, servants, and employees from
any and all such losses, damages, and claims.
Exhibit Benefits
Tabletop Exhibit: One 6’ x 30’’ skirted table, two chairs, and one wastebasket is provided for each tabletop
exhibit. Additional equipment such as electricity, internet, etc. is available at an additional cost, and should be
negotiated with the hotel audiovisual services provider in advance of the conference. Expenses for additional
needs will be the responsibility of the exhibitor. Each tabletop exhibit entitles the exhibiting company to ONE
complimentary registration per exhibitor, which includes attendance at educational sessions and luncheons,
along with a listing in the program booklet
Resource Table: An opportunity to display your materials on a display table in the registration area. This can
include books, magazines, conference announcements or any other free materials. Materials will be displayed at
the start of the conference and replenished as needed. Additionally, you will be listed in the program booklet.
Association for Medical Education and Research in Substance Abuse

2012 AMERSA Exhibitor Application
November 1-3, 2012
DoubleTree Hotel Bethesda
8120 Wisconsin Avenue • Bethesda, MD 20814
Exhibitor Information
Exhibitor Company Name:_________________________________________________________________________________________
Contact First Name: ________________________________________________ Contact Last Name:_____________________________
Contact Title:____________________________________________________________________________________________________
Mailing Address:_________________________________________________________________________________________________
City:______________________________________________________ State: ______________________ Zip code:__________________
Work Phone (incl. area code):_________________________________________Fax: __________________________________________
Email Address:___________________________________________________________________________________________________
Name to Appear on Badge:________________________________________________________________________________________
Exhibit Fees
Tabletop Exhibit ...................................$ 500.00
• Listed in the annual meeting program
• Receives one complimentary registration which includes attendance at educational sessions and luncheons.
Resource Table......................................$ 250.00
(An opportunity to ship 200 copies of materials you would like to provide to the membership free of charge. This can include books,
magazines, conference announcements or any other free materials. Materials will be displayed at the start of the conference and
replenished as needed.)
• Listed in the annual meeting program
TOTAL: $ _______________________
Cancellation Policy
• Exhibitors withdrawing or cancelling an application on or before August 1, 2012 will forfeit 25% of the total cost paid.
• Exhibitors cancelling after August 1, 2012, but on or before September 30, 2012, will forfeit 50% of the total cost paid.
• Exhibitors cancelling after September 30, 2012, will forfeit 100% of the total cost paid.
Payment Information
Completed applications may be submitted in one of three ways:
• On-line submission
• Faxed to (877) 418-8769
• Mailed to: AMERSA, PO Box 20160, Cranston, RI 02920, Attn: Doreen MacLane-Baeder
Payment Method
• Make check payable to AMERSA
• Card Type: MC VISA AMEX
Card Number: _______________________________________________ Expiration Date: ______________________________________
(Please enter using this format: MMDDYY)
First Name on card:_________________________________________________________________________________________________
(Enter your name exactly as it appears on the card.)
Last Name on card: ______________________________________________________________________________________________
(Enter your name exactly as it appears on the card.)
Billing Address on card: ___________________________________________________________________________________________
City: ______________________________________________________ State:______________________ Zip: _____________________
Phone (include area code):_________________________________________________________________________________________
Email address: __________________________________________________________________________________________________

About the DoubleTree Hotel
8120 Wisconsin Avenue
Bethesda, MD 20814
301-652-2000
Savor a stunning blend of contemporary style and Zen allure in the heart of trendy,
downtown Bethesda, MD at our distinctive hotel. Enjoy upscale services and amenities,
including PURE Allergy Friendly Guestrooms, a healthy alternative for every guest.
Located within walking distance of over 150 shops and restaurants, our 270 guestrooms
are designed with the finest attention to detail. Featuring innovative green efforts,
Doubletree by Hilton Bethesda - Washington DC offers a cutting-edge on-site Executive
Meeting Center and accompanying business services within our superior hotel.
MEETING & BANQUET FACILI
Floor Plan
SECOND LEVEL
SECOND LEVEL
CAPACITY
Dimensions
Grand Ballroom 41' x 13
Grand Ballroom A 41' x 31
Grand Ballroom B 41' x 32
Grand Ballroom C 41' x 40
Grand Ballroom D 41' x 35
Harmony 40' x 38
Balance 36' x 20
Wisdom 34' x 20
Insight 32' x 20
THIRD LEVEL
THIRD LEVEL
CAPACITY
Dimensions
Gardenia 21' x 24
Jasmine 36' x 20
Juniper 36' x 20
Lavender 36' x 20
Lilac 36' x 20
Orchid 34' x 19