2016 LAFP 69th Annual Assembly and Exhibition

Exhibit and Support Opportunities
Registration Form and Support Agreement
STEP ONE: Contact Information
Please complete all information below for use in the conference program book.
Salutation: First Name: Last Name:
Company Name: Title:
Mailing Address: City: State: Zip:
Phone: Fax: Email:
Company Website Address:
Has your company exhibited at the event before:
 
STEP TWO: Conference Sponsorship Levels
Diamond Sponsor - $10,000 Gold Sponsor - $6,500
Platinum Sponsor - $8,000 Silver Sponsor - $3,500
 
 
STEP THREE: Exhibit Space Selection
LAFP will make its best effort to accommodate your wishes.

To view the Exhibit Hall Floor Plan, click here.
We request the following booth locations:
spacer1st choice: spacer2nd choice: spacer 3rd Choice:

Number of Booths at $1,500 each: (Booth price after May 6th, 2016 = $1,600)

Company Name to appear on identification sign:

We request that our space not be adjacent to the following companies:
spacera: spacer b:

List any potential exhibitors you wish to be near:
spacera: spacer b:

(LAFP reserves the right to re-design the layout of the exhibition hall and may, at their discretion, reassign booth numbers and placement as needed.)


STEP FOUR: Ad Selection and Marketing Fees
Back cover - $700 (Color Ad)
Inside front cover - $650 (Color Ad)
Inside back cover - $600 (Color Ad)
Full Page Ad - $500 (B&W)
Half Page Ad - $250 (B&W)
Friday Evening Foundation Auction / President’s Party Host - $9,000
Thursday Evening Welcome Reception Host - $7,000
Awards & Installation Luncheon Host - $5,000
LAFP Board of Directors Dinner Sponsor - $5,000
Continental Breakfast (four available) - $3,500
Lunch Sponsor (one available) - $3,5000
Foundation Golf Tournament Sponsor - $3,500
T-Shirt Sponsor (Quantity 250) - $3,500
General Assembly Lunch - $2,500
Refreshment Break Sponsorship - $2,500
Conference Tote Bags (Quantity 250) - $1,000
Lanyard Sponsor (Quantity 500) - $750
Name Badge Sponsor (Quantity 500) - $750
Bag Insert (Quantity 250) - $500
     

GENERAL AD INFORMATION:
  • Only digital files DOC, JPG, PUB, JPEG and PDF
  • Bleed advertising, full page only, will be at a rate of 1-1/2 times selected rate
  • Cancellations must be received, in writing, no less than 75 days prior to first day of meeting
  • The Editor reserve the right to refuse any advertising or adjust publication size as necessary
 
QUESTIONS or COMMENTS:
 
STEP FIVE: Total Fees
The total amount due will appear on the next screen.
 
 
STEP SIX: Method of Payment
LAFP Federal Tax ID# 72-0474962) (LAFP Foundation Tax ID# 58-1757802)
PLEASE READ: I herby apply for exhibit space or sponsorship at the 69th Annual Assembly and Exhibition of the Louisiana Academy of Family Physicians (LAFP). I understand that when received by the LAFP, this application becomes a binding contract. By signing below, I acknowledge that I have read and fully understand 2016 Exhibit Prospectus, and that sponsorship can only by secured by submitting this signed, completed form.
NOTE: Full payment should be enclosed to ensure booth assignment.
ATTN: we are no longer able to accept American Express! Sorry for the inconvenience– please call the LAFP office with questions.
 
I will be paying by check and will mail at a later date. (do not complete the payment info below)
Card Type: Card Number: - - - Exp Date (MM/YY):
Card Holder's Name: 3 Digit Code (on back of card):
Billing Address: City: State: Zip:
 
 
CANCELLATION POLICY:
A written notice of cancellation must be sent to the LAFP Office, 919 Tara Boulevard, Baton Rouge, LA, 70806. Notices received on or before May 5, 2016, will receive a 50 percent refund. No refund or cancellation will be made on or after May 5, 2016

If you have any questions or comments, please contact the LAFP office at 225.923.3313 or email info@lafp.org.