Louisiana Oncology Society
Louisiana Oncology Society President David Oubre, M.D. Pontchartrain Hematology Oncology 15752 Medical Arts Plaza Hammond, LA 70403 (985) 419-0025 January 19, 2015 LOS/MOS Exhibitors – President Elect Chancellor Donald, M.D. Louisiana Oncology Associates 4809 Ambassador Caffery Pkwy Suite 110 Lafayette, LA 71301 (337) 235-7898 Treasurer Howard Wold, M.D. Hematology Oncology Life Center 605 Medical Center Drive Alexandria, LA 71301 (318) 442-2232 Legislative Chair John Rainey, M.D. JMR Consulting 309 Coulee Croche Rd Cankton, LA 70584 (337) 278-1112 Board Member Michael Castine M.D. Hematology Oncology Clinic 8595 Picardy Ave, Ste 400 Baton Rouge, LA 70809 (225) 767-0822 FAX: 225-769-5424 Immediate Past President Roy Weiner, M.D. Tulane Health Sciences Center 1430 Tulane Avenue, Box SL-68 New Orleans, LA 70112-2699 (504) 988-6061 Executive Director Mary Jo Richards 8805 N 145th E Ave, Suite 203 Owasso OK 74055 (918) 261-8951 O (918) 274-8354 F [email protected] The Louisiana Oncology Society would like to invite you and members of the Louisiana Oncology Society to attend the 2015 Spring Meeting. Date: April 17-18, 2015 Place: Le Meridien New Orleans, 333 Poydras Street, New Orleans, LA. Special rates for Louisiana/Mississippi Oncology Society block of rooms ends March 26th 2015. Agenda: TBA: Please see website, www.laoncologysociety.org Exhibit set up: Friday, April 17th at 3:00 p.m. or Saturday, April 18th at 7:00 a.m. Exhibit break down: At your discretion. Signage will be on your assigned table and is based on your level of corporate membership Booth Fees: Based on your level of LOS corporate membership. Non-corporate Member *Extra reps $300 each $2000 (includes 1 rep) Diamond Corporate Member *Extra reps $150 each Free (includes 5 reps) Platinum Corporate Member *Extra reps $200 each $500 (includes 4 reps) Gold Corporate Member *Extra reps $225 each $1000 (includes 3 reps) Silver Corporate Member *Extra reps $250 each $1200 (includes 2 reps) Bronze Corporate Member *Extra reps $275 each $1400 (includes 1 rep) www.LAoncologysociety.org • www.Facebook.com/LAOncologySociety Corporate Office • 8805 N. 145th E. Ave., Suite 203 • Owasso, OK 74055 • T 918.274.8374 • F 918.274.8354 Federal Tax ID # 72-1219540 *NOTE: An Industry Delegate (non-sales force) is an individual who is a direct employee of an organization that produces and sells products. In cases where an industry delegate attends a meeting and does not display we charge the “extra rep fee” that is outlined in our list of corporate membership levels and procedures. Fees include table, two chairs, table covering, waste basket, meeting registration, meals, reception, name badges, etc. LOS is a 501(c)3 nonprofit organization, with a tax identification number of 72-1219540. Please make your check payable to LOS and mail to Louisiana Oncology Society, 8805 N 145th E Ave, Suite 203, Owasso, OK 74055. Warm regards, Kristen Ray Meeting Planner Mississippi Oncology Society Louisiana Oncology Society LOS/MOS 2015 Spring Meeting Please complete registration form for each person attending. Name: _______________________________ Title: _______________________________ Name of Organization: ___________________________________________________________ Mailing Address: _______________________________________________________________ City_____________________________ Phone # _________________________ State: _________ Zip ______________ Fax # _______________________________ Name: _______________________________ Title: _______________________________ Name of Organization: ___________________________________________________________ Mailing Address: _______________________________________________________________ City_____________________________ Phone # _________________________ State: _________ Zip ______________ Fax # _______________________________ Name: _______________________________ Title: _______________________________ Name of Organization: ___________________________________________________________ Mailing Address: _______________________________________________________________ City_____________________________ Phone # _________________________ State: _________ Zip ______________ Fax # _______________________________ Name: _______________________________ Title: _______________________________ Name of Organization: ___________________________________________________________ Mailing Address: _______________________________________________________________ City_____________________________ Phone # _________________________ State: _________ Zip ______________ Fax # _______________________________ Name: _______________________________ Title: _______________________________ Name of Organization: ___________________________________________________________ Mailing Address: _______________________________________________________________ City_____________________________ Phone # _________________________ State: _________ Zip ______________ Fax # _______________________________ www.LAoncologysociety.org • www.Facebook.com/LAOncologySociety Corporate Office • 8805 N. 145th E. Ave., Suite 203 • Owasso, OK 74055 • T 918.274.8374 • F 918.274.8354 Federal Tax ID # 72-1219540
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