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 OR OR OR 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.
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