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N o R EA L13
NOR THSTA TE PREHOSPITAL SPRfNQ” CONFERENCE
WIN-RIVER RESORT AND CASINO EVENT CENTER
SATURDAY-MAY 16, 2015
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SPONSOR
/ VENDOR APPLICATION
Company Name:
Contact Representative:
Address:
City, State, Zip:
Telephone and Fax Numbers:
Email Address:
Yes, I would like to be a Sponsor
Vendor
Meals are compilmentary for one. Additional
attendees will be asked to purchase meals at
$30.00 per person.
Note: Our insurance carrier has requested all
Sponsors/Vendors provide Nor-Cal EMS with a
Certificate ofInsurance. Please include Nor-Cal
EMS as an “additional insured” on your copy.
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Name:
Add’l)
ATTENDANCE: Our 2014 SPRING and FALL events were attended by over 200 committed and dedicated First
Responders, EMTs, Paramedics and Nurses (paid and volunteer).
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PREVIOUS SPEAKERS: Doctors, Nurses, CHP Officers, EMS Instructors, Paramedics, Flight Nurses, Disaster and
Terrorism Training Instructors and SWAT Team Doctors.
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PREVIOUS SUPPORTERS: American Medical Response
Enloe Medical Center Medtronic Mercy Medical Center
Nor-Cal EMS PHI Air Medical Shasta Regional Medical Center St. Elizabeth Community Hospital Life Assist
Bound Tree Medical Progressive Medical Int’l American Heart Association Cardiac Science Corporation
Disaster Management Systems Enerspect Medical Solutions Enloe FlightCare Butte Community College
Emergency Nurses Association Phillips Healthcare Physio Control Life Assist Medical Reserve Corps Minto
Research and Development Pacific Bio Medical REACH Air Medical Services Stryker EMS Equipment Zoll
Medical Institute of Technology National College of Technical Instruction ReddiNet DataTechOll Braun
Northwest
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SPONSOR LEVEL:
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$1100 Sponsor fee ($100 will be used to purchase a gift certificate in the Sponsor’s name for our Raffle)
Corporate logo advertised on the Nor-Cal EMS website (Sponsor Level Only)
Corporate logo recognition on registration material and conference handouts
Two six-foot tables for display material
VENDOR LEVEL:
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$550 Vendor Fee ($50 will be used to purchase a gift certificate in the Vendor’s name for our Raffle)
Corporate logo recognition on registration material and conference handouts
One six-foot table for display material
PLEASE COMPLETEAND RETURN VIA FAX To:
KATHY VANDONGEATNOR-CAL EMS
1890 PARK MA NINA DRIVE, SuITE 200, REDDING, CA 96001
530.229.3979 (OFFIcE) 530.229.3984 (FAx)
NOR-CALE3
NOR THSTA TE PREHOSPITAL
SPR/iVQ” CONFERENCE
SPONSOR EVENTAPPLICA TION
WIN-RIVER RESORT AND CASINO EVENT CENTER
SATURDAY MAY 16, 2015
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Nor-Cal EMS, mc, henceforth known as “Company,” and
henceforth known as “Sponsor”, enter into this agreement freely and willingly on the
2015.
day
of
The covenants of this agreement are as follows:
The Event
Sponsor agrees to provide sponsorship (details below) for the Northstate Prehospital
“Spring” Conference, henceforth known as “Event.”
The Sponsorship
Sponsor agrees to provide Company with $1,100.00 for Event.
Credit
In exchange for this sponsorship, Company agrees to provide Sponsor with free advertising on
the Nor-Cal EMS website until the date of the conference (May 16, 2015). A gift card of
$100.00 will be purchased from a local vendor as a give-away and Sponsor’s name will be
recognized for the gift card. Sponsor’s corporate logo recognition on registration material and
conference handouts and two six-foot tables for display material.
Meals
Complimentary meals are provided for one (1) attendee at Sponsor booth. Sponsor agrees that
for each additional attendee at Sponsor’s booth, Sponsor will purchase the meals at $30.00 for
each attendee.
Certificate of Insurance
Sponsor agrees to provide a copy of their Certificate of Insurance to Nor-Cal EMS 30-days prior
to event. Note: Please include Nor-Cal EMS as an “additional insured” on your copy.
Relationship
This agreement represents the only relationship between Company and Sponsor. No other
relationship between the two entities exists, implied or otherwise.
Nor-Cal EMS Authorized Signature
Sponsor Signature
Company Representative Name
Company Representative Name
Date
Date
1
NORTHSTATE PREHOSPITAL ‘SPR/M6’CONFERENCE
WANT FREE ADVERTISING?
==-:=
/
IT’S EASY.. ..JOIN US AS A SPONSOR FOR THE
NORTHSTATE PREHOSPITAL”SpR1H’ CONFERENCE
WHEN: SATURDAY, MAY i6, 2015
WHERE: WIN-RIVER RESORTAND CASINO EVENT CENTER
COMPLETE AND RETURN THE APPLICATION (ATFACHED) TODAY
AND YOUR CORPORATE LOGO WILL “ROTATE” ON
THE FRONT PAGE OF THE NOR-CAL EMS WEBSITE AT
WWW.NORCALEMS.ORG
UNTIL THE DAY OF THE CONFERENCE (MAY i6, 2015)
IT’STHAT EASY....SO HURRY.....SEND IN
YOUR APPLICATION SOON TO
MAXIMIZE THIS FREE OFFER!
SPONSORS ONlY