AGES MEETINGS SPONSORSHIP & EXHIBITION PROSPECTUS 2014 2 CONTENTS Host Organisation 3 Australasian Gynaecological Endoscopy & Surgery Society Ltd (AGES) AGES Meetings in 2014 • Annual Scientific Meeting XXIV 2014 Sydney, Australia 4 5 ‘Tomorrow’s Theatre Today’ • AGES Pelvic Floor Symposium & Workshop XV 2014 Adelaide, Australia 6 ‘Stay Native or Go Foreign’ • AGES Focus Meeting 2014 Perth, Australia 7 ‘Complications Sponsors and Exhibitors An invitation from the Board of Directors of the Australasian Gynaecological Endoscopy & Surgery Society Ltd Which companies should be involved in AGES Conferences? Benefits to sponsors and exhibitors Sponsorship and Exhibitions at AGES Meetings in 2014 Platinum Sponsorship of AGES in 2014 Major Sponsorship of AGES in 2014 Major Sponsorship of Individual AGES Meetings in 2014 Individual Sponsorship Opportunities Breakfast Sessions Plenary Sessions Conference Faculty Conference Satchels Speakers’ Preparation Centre Social Activities 8 8 8 8 9 10 10 11 12 12 12 12 13 13 14 Gala Dinners AGES Trade Exhibitions in 2014 Double Stands Single Stands Trade Exhibitions Payment for Sponsorship/Exhibition Space 15 15 17 18 18 Sponsorship/Exhibition Stand Application 19 Accommodation/Social Program Application 22 3 HOST ORGANISATION AUSTRALASIAN GYNAECOLOGICAL ENDOSCOPY & SURGERY SOCIETY LTD The Australasian Gynaecological Endoscopy & Surgery Society Ltd (established 1990) represents the majority of surgical gynaecologists in Australia and New Zealand today. AGES is firmly established as the pre-eminent gynaecological surgical association in the Asia Pacific region. AGES Philosophy Our aim is to foster the highest standards of practice amongst our members. Our brief is gynaecological and minimally invasive surgery, performed using laparoscopic, hysteroscopic and vaginal approaches for gynaecological problems. Our charter involves teaching and updating gynaecologists in surgical and non-surgical techniques, both as specialists in training and in specialist clinical practice, via clinical meetings and surgical workshops. Our Objectives To encourage high standards of gynaecological surgery To provide a forum for discussion and innovation in all aspects of gynaecological surgery To provide scientific meetings for the exchange of knowledge and expertise To provide a network of experienced gynaecological and endoscopic surgeons to optimise patient care and facilitate liaison with other health professionals To encourage scientific research and publications on gynaecological and endoscopic surgery To provide opportunities for training in gynaecological surgery and endoscopy by organising workshops and training courses, and through the AGES Training Program in Gynaecological Endoscopy To acknowledge individuals who have made outstanding contributions to the field of gynaecological endoscopy AGES BOARD President Vice President Hon. Secretary Treasurer Directors AGES Executive Director Dr Jim Tsaltas Assoc. Prof. Anusch Yazdani Assoc. Prof. Harry Merkur Dr Stuart Salfinger Assoc. Prof. Jason Abbott Dr Keith Harrison Dr Stephen Lyons Dr Haider Najjar Prof. Ajay Rane OAM Dr Martin Ritossa Ms Michele Bender AGES EXECUTIVE DIRECTOR Ms Michele Bender E: executivedirector@ages.com.au 4 AGES MEETINGS IN 2014 AGES, the premier gynaecological surgical society in the Australia/New Zealand region, will host three meetings in 2014, presenting the high calibre research and innovative thinking for which the society is renowned. As a consequence of AGES’ reputation for first class education, science and innovation, in conjunction with our industry partners, one third of all RANZCOG Fellows and even more trainees are members of AGES. Our research grants also deliver high quality projects to advance women’s health in the area of gynaecological surgery, and our AGES Training Program in Gynaecological Endoscopy is a significant advance in the education of future specialists in our profession. So join us in 2014 for what AGES does best – education, information and collaboration. 5 AGES XXIV ANNUAL SCIENTIFIC MEETING 2014 ‘Tomorrow’s Theatre Today’ 27 to 29 March 2014 Hilton Sydney International Faculty: Assoc. Prof. Perdro Escobar Dr Marit Lieng Dr Thomas Payne Puerto Rico Norway USA Technology has driven modern gynaecological surgery with many variations in techniques and instrumentation now available to the surgeon. From robotics to ablation, ultrasound to procedural instrumentation, technological changes have required surgeons to keep pace with both the capacity to perform these procedures and the science that underpins their success. Energy sources, implantable devices, pre-operative scanning capabilities and 3D camera systems are readily available and allow surgeons to perform better than ever before. Add to this a range of hysteroscopic instruments that simplify and automate many complex or uncommon procedures and surgeons have never had more choice in the operating room. So many choices, so many operations, so many variations. But what impact do all of these choices have on the outcomes for women? Do these farreaching technologies impair rather than improve training? What are the drivers for patients, for surgeons and for industry? The fact that many surgical techniques come with bullet-proof science to validate and substantiate ideas and ideals are testimony to the fusion of industry and surgeon. The capacity to ask for changes and have those challenges answered continues to be a cornerstone of improving healthcare. Meeting all of those challenges, how we can fit these changes into the current fiscal climate and where this may all head to remains to be seen. So in keeping with AGES’ promise to deliver the very latest in science, technology and gynaecological surgery, we invite you to support the AGES Annual Scientific Meeting in Sydney, March 2014 as we dissect, discuss and demonstrate what we find in the operating room of today and tomorrow. Assoc. Prof. Jason Abbott Conference Chair AGES Director Director Assoc. Prof. Harry Merkur Scientific Co-Chair AGES Hon. Secretary Dr Stephen Lyons Scientific Co-Chair AGES 6 AGES PELVIC FLOOR SYMPOSIUM & WORKSHOP XV 2014 ‘Pelvic Floor Surgery – Going Native’ 15 & 16 August 2014 Adelaide Conference Committee Prof. Ajay Rane OAM Dr Martin Ritossa Assoc. Prof. Alan Lam Dr Robert O’Shea Dr Elvis Seman Conference Co-Chair Conference Co-Chair Scientific Co-Chair Scientific Co-Chair Scientific Co-Chair International Guest Speakers Assoc. Prof. Roseanne Kho Mr Ash Monga Assist. Prof. Peter Rosenblatt USA UK USA We are delighted to invite you back to Adelaide for this the fifteenth annual AGES Pelvic Floor Symposium and Workshop. Adelaide is a city of diversity, from the excitement and noise of the Fringe Festive and Clipsal 500 to the relaxed pace of the wine country, beaches and the bikes of the Tour Down Under. In this backdrop of diversity we wish to review the array of options available to the pelvic floor surgeon. With the help of our international faculty, Rosanna Kho USA, Ash Monga UK, and Peter Rosenblatt USA, we will explore the lessons learnt in the journey from native tissue repair to mesh augmentation and back again. The program will include the role of Robotic Surgery and Mesh Augmentation, focusing on how we can use these procedures to improve our native tissue repairs. The program will also include; interactive sessions, which will discuss obstacles encountered during surgery and how the generalist pelvic surgeon can overcome these hurdles, presentations from other disciplines designed to facilitate patient selection and recovery, as well as the ever popular morning of live surgery to generate debate. When the day is done, join us in celebrating the reopening of Adelaide’s most loved icon – the recently redeveloped Adelaide Oval. Enjoy spectacular views from the Members’ Dining Room, reminisce stories of its famous test matches and dreams of the AFL history to come. We are confident this entertaining and educational meeting which will attract a significant audience, and welcome your support. Dr Jim Tsaltas AGES President Prof. Ajay Rane OAM AGES Director Conference Co-Chair Dr Martin Ritossa AGES Director Conference Co-Chair 7 AGES FOCUS MEETING 2014 ‘Complications’ 24 & 25 October 2014 Perth Co-Chair: Dr Stuart Salfinger Co-Chair: Dr Jim Tsaltas The AGES 2014 Focus Meeting will be held in Perth on 24 & 25 October 2014. The focus will be on complications. Complications, surgical error or mistake. All complications cause us all a great degree of concern in practice. This meeting will focus on complications and error, how errors occur, why they occur, how we detect and manage them. We will also examine the learning process and how we learn from complications and avoid errors in the future. Live surgery will also feature with a session specifically looking at avoiding complications at laparoscopic hysterectomy. Dr Jim Tsaltas Conference Co-Chair AGES President Dr Stuart Salfinger Conference Co-Chair AGES Treasurer 8 AGES MEETINGS IN 2014 SPONSORS AND EXHIBITORS An Invitation from the Board of Directors of the Australasian Gynaecological Endoscopy & Surgery Society Ltd. We are pleased to announce the Meetings of the Australasian Gynaecological Endoscopy & Surgery Society Ltd. in 2014. AGES has clearly established itself as the pre-eminent gynaecological surgical society in the Asia Pacific region, with a membership of over 600 specialists. AGES meetings continue to be met with great acclaim. Delegate feedback focuses on the innovative and relevant programming, the continuing development of interactive forums and debates, and the efficient organisation of the meetings. AGES welcomes sponsorship and exhibitors on an annual basis or an individual meeting basis. Major sponsorship of individual AGES meetings is also available, as well as additional sponsorship opportunities which are listed below. WHICH COMPANIES SHOULD BE INVOLVED? Medical device Camera and optical Providers of disposables / consumables Ultrasound and imaging Pathology Pharmaceutical Publishers Providers of financial services Insurance providers Providers of IT services 9 BENEFITS TO SPONSORS AND EXHIBITORS AGES membership now exceeds 620 specialist gynaecologists and trainees AGES Meetings in 2014 will provide your company with: recognition amongst your customer base of your support of education and collaboration an unparalleled opportunity to interact with surgical leaders, young fellows and trainees unopposed exhibition time during all delegate meal breaks the opportunity to build your client base the opportunity to maintain and reinforce existing client relationships business networking opportunities the opportunity to maintain and/or increase brand awareness You will have an exceptional opportunity to: promote your company, your brands and your products in an environment where delegates are keen to absorb new information and techniques maintain a high profile among your specialist target group both prior to and during the meetings share clinical, technical and scientific advances with over 800 focused delegates annually participate in dynamic and comprehensive scientific programs network with the present and future customers involved in this field, in a fertile environment away from everyday distractions Heighten your company’s profile and commitment: a launch pad for new products that you have developed Early confirmation of your involvement will ensure greatest benefits to your company through exposure to the target market via promotional material. Please note: 1. Sponsorship and exhibition positions will be allocated on the basis of annual support of AGES and then on a first come, first served basis, except where otherwise specified. 2. All costs are correct at the time of printing but are subject to change. 3. All costs are in Australian dollars, and are subject to a goods and services tax, currently at 10%, payable on invoice. 10 SPONSORSHIP & EXHIBITIONS AT AGES MEETINGS IN 2014 An extensive exhibition will be mounted at all three AGES Meetings in 2014 enabling delegates to assess the latest products and services, thereby adding to the overall educational experience. All trade exhibitions at AGES meetings in 2014 will be constructed exhibitions. Sponsorship opportunities have been devised to maximise exposure to delegates throughout 2014. Our goal is to construct sponsorship packages to meet individual sponsors’ needs, in order to assist in optimising return on investment. TOP TIER SPONSORSHIP The Australasian Gynaecological Endoscopy & Surgery Society has greatly benefited from Platinum and Major Sponsorship at all its meetings in recent years. We gratefully acknowledge the support of our top tier sponsors. (A) PLATINUM SPONSOR OF AGES (Sold) (B) MAJOR SPONSOR OF AGES IN 2014 POA 11 (C) MAJOR SPONSORSHIP OF INDIVIDUAL AGES MEETINGS IN 2014 A AGES ASM 2014 AGES Pelvic Floor 2014 B AGES ASM 2014 AGES Pelvic Floor 2014 C AGES ASM 2014 AGES Pelvic Floor 2014 D E F G AGES Focus 2014 AU$70,534 AU$57,732 AGES Focus 2014 AU$51,861 AGES Focus 2014 AU$37,183 AGES ASM 2014 AU$38,110 AGES Pelvic Floor 2014 AU$22,660 AGES Focus 2014 AU$16,480 1. Publicity and Acknowledgement Acknowledgement as a Major Sponsor of the Meeting in all meeting publications and promotional literature Prominent listing and detailed 180 word product description in Conference handbook (where applicable) Display of company slide during one Conference session, acknowledgement as session sponsor by the Session Chairmen Company logo on inside front cover (AGES ASM XXIV 2014 only) Insert in delegate satchels Acknowledgement of Major Sponsorship of the Meeting on AGES website AGES logo for use on sponsor company promotional material ½ page advertisement in the AGES ASM XXIV 2014 Conference handbook 2. Exhibition Third largest category of exhibit at the AGES ASM XXIV 2014 Third largest category of exhibit at other Meetings Registration for 6 company representatives at the AGES ASM XXIV 2014, and 4 company representatives at other Meetings 3. Social Program 5 invitations to Welcome Cocktail Reception at AGES ASM XXIV 2014 4 invitations to Gala Dinner at the AGES ASM XXIV 2014 2 invitations to Gala Dinner at other Meetings 12 INDIVIDUAL SPONSORSHIP OPPORTUNITIES We offer several opportunities for enhanced exposure to delegates at our meetings. A commitment to booth space is also required, except under exceptional circumstances: INDUSTRY SPONSORED BREAKFAST SESSIONS POA The Scientific Chairmen encourage proposals for Industry Sponsored Symposia or Breakfast Sessions which highlight the most recent advances in the field so that the implications for clinical practice can be explored. The number of symposia and breakfast sessions is limited and will be allocated on a first come, first served basis: One 60 minute session at the Conference venue outside core Conference hours at a time to be agreed by the Organising Committee and the sponsor Acknowledgement as sponsor of Breakfast Session by the Session Chairmen Acknowledgement as sponsor of the session in all Conference publications and promotional literature published following confirmation of booking. Prominent listing and 150 word detailed product description in Conference registration brochure abstract book (where applicable) Prominent listing and detailed product description in Conference registration brochure abstract book (where applicable) Display of company slide during sponsored session Opportunity for one satchel insert AGES logo for use on sponsor company promotional material 1. The session is to be designed in collaboration with the Scientific Chairmen to attract the widest possible audience, including students and researchers. 2. The subject and the invited speakers are to be agreed between the Scientific Chairmen and the sponsor. 3. Airfare, accommodation, registration & meals of invited speakers will be the responsibility of the sponsor – unless they are Conference invited speakers. 4. Audio-visual costs will be the responsibility of AGES. 5. Food and beverage costs will be the responsibility of the sponsor. 6. Allocation of RANZCOG attendance points at the discretion of the College on presentation of the program SPONSORSHIP OF PLENARY SESSIONS POA Sponsorship of a Plenary Session as nominated by the Organising Committee: Acknowledgement as sponsor of a Plenary Session in all Conference publications and promotional literature published following confirmation of booking Prominent listing and 150 word detailed product description in Conference registration brochure abstract book (where applicable) Acknowledgement as sponsor of Plenary Session by the Session Chairmen Opportunity for one satchel insert Audio-visual company signage during the sponsored Plenary Session AGES logo for use on sponsor company promotional material 13 SPONSORSHIP OF CONFERENCE FACULTY POA Sponsorship of an Invited Speaker as agreed with the Organising Committee. Speaker travel/accommodation costs are to be funded by the sponsor Acknowledgement as sponsor of Invited Speaker in all Conference publications and promotional literature published following confirmation of booking Prominent listing and 150 word detailed product description in Conference registration brochure abstract book (where applicable) Display of company slide during Sponsored Speaker’s Presentation/s Opportunity for one satchel insert Acknowledgement as sponsor of Invited Speaker by the Session Chairmen AGES logo for use on sponsor company promotional material CONFERENCE SATCHELS Sold Sponsorship of the Conference Satchels will ensure that your company name is associated with this important Meeting: Company logo printed on all delegate satchels, in conjunction with AGES logos. (Placement of logos will be at the discretion of the Organising Committee) Acknowledgement as sponsor of the Conference Satchels in the Conference Abstract Book (where applicable) Opportunity for one satchel insert SPEAKERS’ PREPARATION CENTRE POA The Speakers’ Preparation Centre is the heart of preparations for the Scientific Program presentations. All presenters will be required to report to the Centre to ensure that presentations are previewed and uploaded to a central server. Company screensavers and/or logo wallpaper (as applicable) on computers in the Speakers’ Preparation Centre Signage at the Speakers’ Preparation Centre Acknowledgement as sponsor of the Speakers’ Preparation Centre in the Conference Abstract Book (where applicable) 14 SOCIAL ACTIVITIES GALA DINNERS Sold A Gala Dinner will be held at each conference. The venue for this signature social event will be a premier location in the host city. Opportunity for a short presentation during the Gala Dinner Acknowledgement as sponsor of Gala Dinner in all conference publications and promotional literature Acknowledgement as sponsor of Gala Dinner by the Conference Chairmen 4 complimentary company representative dinner invitations, with a maximum of 6 complimentary invitations in conjunction with benefits from other sponsorship Company signage on the table menus Opportunity for one satchel insert 15 AGES TRADE EXHIBITIONS IN 2014 The Trade Exhibition is a focal point at each AGES Meeting in 2014. All food and beverage stations will be strategically placed to facilitate circulation of the delegates throughout the Trade Exhibition at all conference meal breaks. It is important to note that there will be no competing sessions / events at lunches or refreshment breaks during AGES Meetings. Strict programming guidelines are in place to ensure maximum interaction between delegates and exhibitors. All trade exhibitions at AGES Meetings in 2014 will be constructed exhibitions. DOUBLE STANDS A AGES ASM 2014 AGES Pelvic Floor 2014 B AGES ASM 2014 AGES Pelvic Floor 2014 C AGES ASM 2014 AGES Pelvic Floor 2014 D E F Full payment by 7 February 2014 Full payment after 7 February 2014 AU$21,822 AU$23,877 AU$16,968 AU$18,666 AGES Focus 2014 AU$14,634 AU$16,098 AGES Focus 2014 AU$13,466 AU$14,814 AU$9,545 AU$10,500 AU$8,316 AU$9,148 AU$5,859 AU$6,445 AGES Focus 2014 AGES ASM 2014 AGES Pelvic Floor 2014 G AGES Focus 2014 Entitlements for Double Stands: 1. Publicity and Acknowledgement Acknowledgement in all Conference publications and promotional literature published following confirmation of booking 16 2. Exhibition AGES constructed modular stands comprise: Constructed octanorm double booth at each Meeting, 6m x 3m (minor changes to this size may occur according to venue space) Company name on all open sides of the booth One stand power point Two spotlights General cleaning of public areas General exhibition security service Registration for 3 company representatives at each Meeting Conference meals lunch and refreshment breaks for 3 company representatives 3. Social Program 1 invitation to the Welcome Cocktail Reception at AGES ASM XXIV 2014 1 invitation to the Gala Dinner at each Meeting 17 SINGLE STANDS A AGES ASM 2014 AGES Pelvic Floor 2014 B AGES ASM 2014 AGES Pelvic Floor 2014 C AGES ASM 2014 AGES Pelvic Floor 2014 D E F Full payment by 7 February 2014 Full payment after 7 February 2014 AU$12,059 AU$13,264 AU$9,427 AU$10,369 AGES Focus 2014 AU$8,130 AU$8,943 AGES Focus 2014 AU$7,481 AU$8,663 AU$5,303 AU$5,833 AU$4,620 AU$5,082 AU$3,255 AU$3,581 AGES Focus 2014 AGES ASM 2014 AGES Pelvic Floor 2014 G AGES Focus 2014 Entitlements for Single Stands: 1. Publicity and Acknowledgement Acknowledgement in all Conference publications and promotional literature 2. Exhibition AGES constructed modular stands comprise: Constructed octanorm double booth at each Meeting, 3m x 3m (minor changes to this size may occur according to venue space) Company name on all open sides of the booth One stand power point Two spotlights General cleaning of public areas General exhibition security service Registration for 2 company representatives at each Meeting Conference meals lunch and refreshment breaks for representatives 3. Social Program 1 invitation to the Welcome Cocktail Reception at AGES ASM XXIV 2014 1 invitation to the Gala Dinner at each Meeting 18 AGES ASM XXIV 2014, AGES PELVIC FLOOR SYMPOSIUM & WORKSHOP XV 2014 & AGES FOCUS 2014 TRADE EXHIBITION Companies purchasing large stands may choose to erect custom-designed stands at their own expense. The proposed stand design will be subject to approval by the Conference Organiser. Stand positions will be allocated on the basis of annual support for AGES and on a ‘first come, first served’ basis. PAYMENT FOR SPONSORSHIP / EXHIBITION SPACE All sponsorship/exhibitor payments are payable in full: 1. at time of booking for AGES ASM XXIV 2014 and no later than 30 days prior to the event 2. 30 days prior to the commencement date for the other Meetings To qualify for ‘early bird’ discounts, full payment must be made by 7 February 2014. All payments must be made in Australian dollars. Payment in any other currency will not be accepted. Payments are to be by company cheque. EFT payments can only be accepted by prior arrangement. Agreements will be forwarded to all confirmed sponsors and exhibitors, and will include terms and conditions of sponsorship and/or exhibition. 19 AGES MEETINGS IN 2014 – SPONSORSHIP/EXHIBITION STAND APPLICATION Company Name: _____________________________________________ Address: _____________________________________________ _____________________________________________ Suburb/State/PC: _____________________________________________ Contact Name: _____________________________________________ Position: _______________________Mobile:_________________ Telephone: _______________________Facsimile:_______________ Email: _____________________________________________ All Australian prices are subject to Australian Goods and Services Tax (GST) of 10% on invoice, where stated Sponsorship Opportunities: SPONSORSHIP ITEM Major Sponsorship Individual Meetings A. All Three Meetings AU$ B. AGES ASM 2014+AGES Pelvic Floor 2014 AU$ C. AGES ASM 2014+ AGES Focus 2014 AU$ D. AGES Pelvic Floor 2014 + AGES Focus AU$ 2014 TOTAL TOTAL excl GST MEETING/S E. AGES ASM 2014 AU$ F. AGES Pelvic Floor 2014 AU$ G. AGES Focus 2014 AU$ AU$ 20 Exhibition Opportunities: STAND Double stand Single Stand TOTAL TOTAL excl GST MEETING/S A. All Three Meetings AU$ B. AGES ASM 2014+ AGES Pelvic Floor 2014 AU$ C. AGES ASM 2014+ AGES Focus 2014 AU$ D. AGES Pelvic Floor 2014 + AGES Focus 2014 AU$ E. AGES ASM 2014 AU$ F. AGES Pelvic Floor 2014 AU$ G. AGES Focus 2014 AU$ A. All Three Meetings AU$ B. AGES ASM 2014+ AGES Pelvic Floor 2014 AU$ C. AGES ASM 2014+ AGES Focus 2014 AU$ D. AGES Pelvic Floor 2014 + AGES Focus 2014 AU$ E. AGES ASM 2014 AU$ F. AGES Pelvic Floor 2014 AU$ G. AGES Focus 2014 AU$ AU$ 21 Individual Sponsorship Opportunities: TOTAL excl. GST VALUE ITEM MEETING/S Industry Sponsored Symposia / Breakfast Sessions AGES ASM 2014 POA No. AU$ AGES Pelvic Floor 2014 POA No. AU$ AGES Focus 2014 POA No. AU$ AGES ASM 2014 POA No. AU$ AGES Pelvic Floor 2014 POA No. AU$ AGES Focus 2014 POA No. AU$ AGES ASM 2014 POA No. AU$ AGES Pelvic Floor 2014 POA No. AU$ AGES Focus 2014 POA No. AU$ AGES ASM 2014 POA AU$ AGES Pelvic Floor 2014 POA AU$ AGES Focus 2014 POA AU$ Plenary Sessions Sponsorship of Speakers Speakers’ Preparation Centre TOTAL (excl GST) AU$ 22 AGES ASM XXIV 2014: Accommodation and Social Program ITEM NO X COST (incl. GST) COST Additional Company Representatives …… representatives @ AU$350 each AU$ Guest Room Plus ….…rooms x…..nights @ AU$284 AU$ Deluxe Room ….…rooms x…..nights @ AU$324 AU$ Gala Dinner extra …… people @ AU$155 each AU$ Welcome Cocktail Reception Extra …… people @ AU$60 each AU$ Accommodation: Hilton Sydney Social Program: TOTAL COST AU$ ACCOMMODATION DETAILS – AGES ASM XXIV 2014 NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ SPONSOR REPRESENTATIVE NAMES 1. _____________________________ Welcome Reception Gala Dinner 2. _____________________________ Welcome Reception Gala Dinner 3. _____________________________ Welcome Reception Gala Dinner 4. _____________________________ Welcome Reception Gala Dinner 5. _____________________________ Welcome Reception Gala Dinner 6. _____________________________ Welcome Reception Gala Dinner 23 AGES Pelvic Floor Meeting 2014: Accommodation & Social Program ITEM NO X COST (incl. GST) COST Additional Company Representatives …… representatives @ AU$250 each AU$ Deluxe Room ….…rooms x…..nights @ AU$205 AU$ Deluxe Plus Room ….…rooms x…..nights @ AU$240 AU$ …… people @ AU$155 each AU$ Accommodation: Hilton Adelaide Social Program: Gala Dinner extra TOTAL COST AU$ ACCOMMODATION DETAILS – AGES Pelvic Floor 2014 NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ SPONSOR REPRESENTATIVE NAMES 1. ____________________________________________Gala Dinner 2. ____________________________________________Gala Dinner 3. ____________________________________________Gala Dinner 4. ____________________________________________Gala Dinner 5. ____________________________________________Gala Dinner 6. ____________________________________________Gala Dinner 24 AGES Focus Meeting 2014: Accommodation and Social Program ITEM NO X COST (incl. GST) COST Additional Company Representatives …… representatives @ AU$230 each AU$ ….…rooms x…..nights @ AU$225 AU$ Accommodation: Crown Promenade Standard Queen \ Crown Metropol Luxe King ….…rooms x…..nights @ AU$270 AU$ …… people @ AU$155 each AU$ Social Program: Gala Dinner extra TOTAL COST AU$ ACCOMMODATION DETAILS – AGES Focus 2014 NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ NAME___________________________________________________________ Preferred accommodation type King Twin Arrival date_______________________Departure date______________________ SPONSOR REPRESENTATIVE NAMES 1. ____________________________________________Gala Dinner 2. ____________________________________________Gala Dinner 3. ____________________________________________Gala Dinner 4. ____________________________________________Gala Dinner 5. ____________________________________________Gala Dinner 6. ____________________________________________Gala Dinner 25 PAYMENT SPONSORSHIP AU$ EXHIBITION AU$ Add 10% GST AU$ TOTAL (incl. GST) AU$ AGES ASM XXIII 2014 ACCOMMODATION AU$ EXTRA REPRESENTATIVES AU$ SOCIAL PROGRAM AU$ TOTAL (incl. GST) AU$ AGES Pelvic Floor 2014 ACCOMMODATION AU$ EXTRA REPRESENTATIVES AU$ SOCIAL PROGRAM AU$ TOTAL (incl. GST) AU$ AGES Focus Meeting 2014 ACCOMMODATION AU$ EXTRA REPRESENTATIVES AU$ SOCIAL PROGRAM AU$ TOTAL (GST free) AU$ TOTAL PAYMENT (incl. GST) AU$ 26 I have read the sponsorship document provided and agree to abide by the terms and conditions as set out in this document Full Name: _____________________________________________ Company: _____________________________________________ Position: _____________________________________________ Date: _____________________________________________ Signed: _____________________________________________ Fax back number +61 2 9967 2627
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