the 2015 Medical PL / PRS Sponsor Form.

April 28 & 29, 2015
Marriott Marquis, Atlanta, GA
SPO N SO RSHIP INFO RMATIO N
year PLUS will be hosting two distinct
Symposia on April 28 & 29, 2015 at the Marriott
Marquis, Atlanta, GA. As part of our ongoing
commitment to education and in an attempt to create
an even more vibrant networking atmosphere by
hosting more people at the same location, we are
g both the PLUS Medical PL Symposium and
the PLUS Professional Risk Symposium at the same
time.
S PONSORSHI P B ENEFITS
Platinum Sponsors will receive added
recognition at both the Medical PL and
Professional Risk Symposia running
simultaneously.

Registrant's Networking Lounge
- Platinum: 6 complimentary passes to
the lounge and 1 reserved table
- Gold: 4 complimentary passes to the
lounge
- Silver and Bronze: 2 complimentary
passes to the lounge

Recognition and acknowledgement
appropriate for the level of support:
- In the Symposium program
- In the PLUS Journal
- Signage at the Symposium
- On the PLUS Website

Complimentary Symposium registrations:
- Platinum: 3
- Gold: 2
- Silver: 1

2 Complimentary passes to the Tuesday
evening reception
As a sponsor, your company will have expanded
opportunities to get its name in front of nearly 700
insurance professionals in the Medical, EPL, E&O
and Fiduciary professional lines.
For an investment of $8,000 Platinum Sponsors will
receive recognition at all sponsor display
opportunities for both events and for the joint
reception for all attendees.
For a smaller investment, noted below, Gold, Silver
and Bronze sponsors will receive recognition only at
the chosen individual symposium (Professional Risk
OR Med PL).
Gold Sponsorship $6,000
Silver Sponsorship $4,000
Bronze Sponsorship $2,000
To discuss sponsorship opportunities for this prestigious event, please contact any of the Chairs:
MEDICALPL SYMPOSIUM
P ROFESSIONAL RISK SYMPOSIUM
Robert Allen, PRO-PRAXIS Insurance
[email protected] / 212-401-1561
Steve Prymas, Hartford Financial Products
[email protected] / 212-277-0779
Ron Rumin, NORCAL Group Companies
[email protected] / 512-879-5110
Cara Lovering, Travelers Bond & Financial Products
[email protected] / 860-277-2224
Jayme Vaccaro, Sedgwick
[email protected] / 510-230-3966
Shauna Martin Ehlert, Cozen O'Connor
[email protected] / 206-224-1251
Or contact Kim Rocha at the PLUS offi
ce at 800-845-0778 or [email protected].
April 28 & 29, 2015
Marriott Marquis, Atlanta, GA
SP O NSO R A GR E E M E N T F O R M
We offer our sponsorship support as follows:

Platinum - $8,000 - Sponsorship for both the Medical PL and the Professional Risk Symposia
Gold/Silver/Bronze - please check sponsorship level for chosen symposium:
Sponsorship
Medical PL
Professional Risk
Level
Symposium
Symposium
Gold - $6,000
Silver - $4,000
Bronze - $2,000
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




OR
OR
OR


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We acknowledge our commitment to this level by:


Enclosing a check or credit card information for the total amount indicated, or
Signing below and anticipating an invoice from PLUS payable by April 6, 2015.
* By signing this form, we are fully aware of the associated benefits as outlined in the PLUS Symposia Sponsor Proposal letter.
* Any assistance, questions, or concerns about sponsorship may be directed to PLUS at 800-845-0778.
* All sponsorships are payable to the Professional Liability Underwriting Society (Tax I.D. #41-1605606). Consult your accountant about tax implications.
Contact Information:
Name:
Title:
Address:
Email:
Phone:
Fax:
Authorized Signature:
Date:
How Your Company Should Be Listed:
Credit Card Payment:
 Visa
 MasterCard
 American Express
Account Number:
 Diners
Expiration Date:
Card Member Name:
Please Print
Signature:
PLEASE FILL OUT THE INFORMATION ABOVE AND RETURN TO:
Kim Rocha • PLUS • 5353 Wayzata Blvd., Suite 600 • Minneapolis, MN 55416
Phone: (800) 845-0778; (952) 746-2580 • Fax: (952) 746-2599 • [email protected]
The Professional Liability Underwriting Society retains full control over all Symposia events and may terminate this sponsorship
agreement at its discretion. To ensure sponsor recognition on all signage throughout the event and to be included in
program materials, all sponsor forms must be received by the PLUS office by April 6, 2015.