11th Academic Medical Center Conference Securely Connecting Communities for Improved Health June 22-24, 2015 The Friday Center, Chapel Hill, NC ________________________________________________________________________________________ Exhibitor Fact Sheet Expected Audience AMC/provider privacy, security & compliance officers; IT support staff; AMC/provider analysts; healthcare attorneys; provider management; corporate management; AMC management; privacy/security consultants; Anyone involved in security and privacy at Academic Medical Centers, health systems, research centers and law firms Target Attendance 150 Fee NCHICA members: $1,300 Non-members: $1,950 Fee includes: Registration for two exhibit table personnel Opportunity to introduce a conference session and give a brief value statement about your company All breaks in exhibition area; lunch in Trillium Room on Monday and Tuesday Company listing on conference signage, materials and NCHICA website 6’ skirted table with two chairs Wireless Internet access Access to electricity Exhibitors Space is limited to 12 exhibit tables. Tables will be assigned on a first-come, first-served basis once payment is received. Payment must be received by June 12, 2015 in order to be listed in the conference program. Exhibits must fit on a 3’ x 6’ table: pipe and drape is prohibited. Exhibit Table Set-up: Monday, June 22, 2015: 7:00 – 7:30 am. Use handicap door next to main entrance. Table Display Hours: Monday, June 22, 2015: 7:30 am – 4:30 pm Tuesday, June 23, 2015: 7:30 am – 2:45 pm Exhibit Dismantle: Tuesday, June 23, 2015: 2:45 – 5:00 pm Shipping Materials may be delivered to the Friday Center no more than one week in advance of the conference. Items should include a return address and be addressed as follows: William and Ida Friday Center 100 Friday Center Drive Chapel Hill NC 27517 Hold for Arrival: (Exhibitor Name) AMC Conference, June 23-25, 2014, Coordinator: Austin Seifts Both UPS and FedEx pickup at the Friday Center. Please call them directly to arrange to have boxes picked up between 8:00 am and 5:00 pm Monday through Friday. Directions http://www.fridaycenter.unc.edu/directions/index.htm 1 Payment Policy Payment is due in full at the time of application. Table assignments will be made when form and payment are received. No exhibitor will be allowed to set up unless paid in full. Members must be in good standing at the time of application and conference. Payment may be made by check (payable to NCHICA) or credit card. Cancellation Policy For exhibit table cancellations received on or before May 22, 2015, 50% of the total table cost is refundable (90% is refundable if we are able to resell the table). There will be no refund for cancellations received after May 22, 2015 (unless we are able to resell the table, in which case 90% is refundable). All display items should be firmly supported or securely fastened. The exhibit area will NOT be locked in the evening. NCHICA and the Friday Center are not responsible for any lost or stolen materials and all valuables (e.g., laptops) must be secured by exhibitors any time they are away from their exhibit. AMC Conference Attendee Profile 2 Exhibit Table Floor Plan Note: Plenary session will be in Redbud. Booths highlighted in yellow are still available. Exhibitors Table 1: Table 2: Table 3: Table 4: Table 7: Table 8: Table 9: Table 10: Iatric Systems Promeditec Virtue Security InteliSecure ProActive Networks & Security Coalfire N-Krypt Global Services Redspin 3 11th Academic Medical Center Conference Securely Connecting Communities for Improved Health June 22-24, 2015 The Friday Center, Chapel Hill, NC ________________________________________________________________________________________ Exhibitor Registration Form Company: _______________________________________________________________________________________ Exhibit Table Personnel 1. Name: ________________________________________ Title: ________________________________________ Address: ______________________________________________________________________________________ Phone: _____________________________________ e-mail: ______________________________________ 2. Name: ________________________________________ Title: ________________________________________ Address: ______________________________________________________________________________________ Phone: _____________________________________ Electrical outlet requested? Y___ N___ e-mail: ______________________________________ Will you need an electrical cord? Y___ Top 3 table choices (see available booths highlighted in yellow on page 3): _____ _____ N___ _____ Payment A check for $_______________ payable to NCHICA is enclosed. Tax ID #56-1885202. Charge $_______________ to my _____ MasterCard _____ VISA _____ American Express Name as it appears on card: __________________________________________________________________________ Card # __________________________________________________________________ Exp. Date: _______________ Authorized Signature: _______________________________________________________________________________ Please complete this form and return with your payment by June 12, 2015 to: Allison Parker, NCHICA, PO Box 13048, Research Triangle Park, NC 27709-3048, FAX: 919-558-2198 If you have questions, please contact Allison Parker at 919-558-9258 ext. 301, [email protected] 4
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