Saturday, 4 of September of 2010

Becoming a Sponsor

Payment Information for Becoming an MPRC Sponsor

If you or your organization would like to become a MPRC sponsor please complete the following online donation form.

Payment Fee Type:
DIAMOND LEVEL CONTRIBUTION ($10000.00 - $100000.00)

Complimentary 8x8 Exhibit Booth at Exhibit Night and up to 6 Complimentary Exhibitor Representation Registrations Sponsor Recognition in the MPRC Program and special Exhibit Signage highlighting your contribution

PLATINUM LEVEL CONTRIBUTION ($7500.00 - $9999.99)

Complimentary 8x8 Exhibit Booth at Exhibit Night and up to 4 Complimentary Exhibitor Representation Registrations Sponsor Recognition in the MPRC Program and special Exhibit Signage highlighting your contribution

GOLD LEVEL CONTRIBUTION ($5000.00 - $7499.99)

Complimentary 8x8 Exhibit Booth at Exhibit Night and up to 2 Complimentary Exhibitor Representation Registrations Sponsor Recognition in the MPRC Program and special Exhibit Signage highlighting your contribution

SILVER LEVEL CONTRIBUTION ($2500.00 - $4999.00)

Complimentary 6ft. Exhibit Table at Exhibit Night and a 50% Discount on Exhibitor Representative Registrations Sponsor Recognition on the MPRC Program and special Exhibit Signage highlighting your contribution

COPPER LEVEL CONTRIBUTION ($1000.00 - $2499.00)

50%Discount on Exhibit Table at Exhibit Night and a 50% Discount on Exhibitor Representative Registrations Sponsor Recognition on the MPRC Program and special Exhibit Signage highlighting your contribution

ASSOCIATE CONTRIBUTION ($0.00 - $999.00)

50% Discount on Exhibitor Representative Registrations for contributions between $500 - $999

Amount:

First Name:

Middle Name:

Last Name:

Company

Company Street Address

E-Mail:

Phone (###-###-####):

Street:

City:

State:

Zip:

Additional attendees?

Payment Options

Funding for the annual Midwest Pharmacy Residents Conference comes predominantly from industry sponsorship. Each year the conference planning committee; comprised of volunteer preceptors from multiple organizations around the Midwest region, plans the conference dates, schedule and solicits funding for the conference from industry sponsors. The National Planning Committee is responsible for overseeing the conference from year to year and assisting in the planning and fundraising.

Once you have completed this form please ensure that you return to the “Sponsor Registration” page to register to attend the conference. All representatives planning to attending the conference from a sponsoring organization must register seperatly.  Click Here to be directed automaticaly to the”Sponsor Registration” page.

PAY BY PAPER CHECK :

Register online and pay by mailing your check in along with a copy of your registration.

Please make checks payable to:  Midwest Pharmacy Residents Conference

Mail a copy of your registration form and payment to:

Dana J. Price
Office Coordinator, Pharmacy/Pathology Services
THE NEBRASKA MEDICAL CENTER
988138 Nebraska Medical Center
Omaha, NE  68198-8138

Powered by wordpress plugins developed by www.wpdevelop.com