SCVBIC
2015
Santa Clara Valley Brain Injury Conference
4th Annual National Conference
Santa Clara Marriott Hotel
Santa Clara, California
February 5 - 7, 2015
SCVBIC
| EXHIBITOR/SPONSOR PROSPECTUS — 1
SPONSORSHIP & EXHIBITOR
PROSPECTUS
The 2015 Santa Clara Valley Brain Injury Conference
Welcome to the biggest and best brain injury conference in California!
The 4th annual Santa Clara Valley Brain Injury Conference: Building on the Legacy
of Coma to Community, will be held February 5-7, 2015 at the Santa Clara Marriott
Hotel, Santa Clara, California.
This conference is the modernized continuation of the Coma to Community Conference hosted by Santa Clara Valley Medical Center from 1977 through 1995. We
anticipate an audience of 500 rehabilitation professional representing a variety of
disciplines as well as individuals with brain injury, family members, and caregivers.
The 2013 conference was endorsed by the American Congress of Rehabilitation
Medicine, the Brain Injury Association of America, and the International Brain Injury
Association.
The main conference includes two days of multi-disciplinary state-of-the-art educational sessions focusing on issues related to brain injury treatment and research in
both a military and civilian population. The 2015 conference will feature four halfday pre-conference workshops as an optional add-on. Past speakers have included
former NFL player George Visger; Co-founder of the Sports Legacy Institute, Chris
Nowinski; Vice President for Global Accessibility at Yahoo, Alan Brightman; the Central Park Jogger, Trisha Meili; and President of the American Congress of Rehabilitation Medicine, Tamara Bushnik.
The 2015 main conference will have four track-based concurrent sessions:
1. Medical Complexity and Acute and Chronic Treatment
(successful strategies and new approaches)
2. Innovative Interventions and Assistive Devices
(new technology, stem cells and others)
3. Living After Brain Injury
(socialization, relationships, advocacy and caregiving)
4. Special Populations
(military and veteran issues, cultural competence, pediatrics, and aging)
The conference curriculum will appeal to social workers, therapists, psychologists,
physiatrists, nurses, researchers, administrators, advocates, individuals with brain
injury and family members affected by brain injury. Presentation format will include
lectures, panel discussions, and interactive workshops. Peer reviewed symposia and
poster presentations will be an integral part of the program allowing for the sharing
of information regarding research and innovative multidisciplinary treatment approaches.
In addition to faculty, comprised of national and international recognized leaders in
the field of brain injury and rehabilitation, there will be exhibitors sharing the latest
innovations and information regarding services for individuals with brain injury and
their families. We have expanded exhibit space to allow for additional resources to
be shared with our conference attendees.
With the resort-like but low distraction setting of the Santa Clara Marriott Hotel conference center, attendees will have the best of both worlds with the combination of
stimulating information in a relaxed and intimate setting.
For more information on the conference please visit braininjuryconference.org
2 — SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS
CONFERENCE FINANCE ADMINISTRATION
HOTEL INFORMATION
Conference finance administration is being facilitated by the
VMC Foundation. Since 1988 the VMC Foundation has worked
to raise funds and awareness for the entire Santa Clara Valley
Health & Hospital System. Supporting programs where traditional resources fall short, the VMC Foundation is meeting our
growing healthcare crisis head on. For more information or to
contribute, please visit www.vmcfoundation.org
Located in the heart of Silicon Valley, the Marriott Hotel is minutes from the Santa Clara Convention Center, San Jose International Airport, and located next to Intel, McAfee, and EMC.
Adjacent to our hotel, guests can also enjoy all the rides and
thrills of California’s Great America amusement park. Our hotel
in Santa Clara, CA features complimentary Wi-Fi in all public
areas, an outdoor heated lap pool and fitness center. Located
on-site, is Bradley Ogden’s award winning Farm to Table Santa
Clara restaurant, Parcel 104, where Executive Chef Jonathan
Hall serves delicious and fresh Northern California cuisine. Find
spacious guest rooms offering outdoor balconies with screen
doors, luxurious bedding and tiered high-speed wired / Wi-Fi
Internet access. Hotel is $109 for a standard single and $119 for
a standard double at the conference rate, taxes and incidentals
not included. Available 02/05/15-02/08/15. Reservations will
be made by individual attendees by calling Marriott Reservations directly at +1.800.228.9290 or via the conference website.
The cutoff date for reservations is January 15, 2015. All reservations must be accompanied by a first night room deposit or
guaranteed with a major credit card.
Past Conference Attendees
Past conference attendees have included a wide variety of clinicians, researchers, legal practitioners, agency representatives,
advocates, individuals with injuries and family members. Agencies represented are listed below.
9-11 HelpAmerica Foundation
Islands Office of Vocational Rehabilitation
Melvin E Irvin Disability Representative Inc
St. Jude Medical Center
Alameda County Medical Center
Defense and Veterans Brain Injury Center
Mercy General Hospital
Stanford University
Active Relationships Center
Department of Rehabilitation
New York University Medical Center
Summit Medical Center
Alexander Law
Eastside Rehab PTPC
Oakland Childrens
Sutter Rehabilitation Institute
Alliance Labs
El Camino Hospital - Los Gatos
Pate Rehabilitation
Alta Bates Summit Medical Center
ESPN
PeaceHealth Southwest
The Frank Stein & Paul S. May Center for Low
Vision Rehabilitation
Blue Sky Sports & Entertainment
Health Plan of San Joaquin
Rehab Care
Brain Injury Homes, Inc.
HealthSouth Rehabilitation Hospital of
Vineland
Rehab Without Walls
Brain Rehabilitation and Injury Network
Brookhaven Hospital
Cabrillo College
California State University, East Bay
California Statewide Collaborative for our
Military and Families
Hilo Medical Center
Home Care Assistance
Intelius
Kaiser Foundation Hospitals
Kentfield Rehab Hospital
The LCS Edge
Rehabilitation Hospital of Indiana
Thought Field Therapy Inc
TIRR Memorial Hermann
Twin Learning LLC
ReMed
Richard J. Staskus Law Firm
Saint Francis Memorial Hospital
Samaritan Hospital
US Department of Education/OSERS/NIDRR
Vancouver Coastal Health
Veterans’ Affairs
Visger & Associates
CareMeridian
Kessler Foundation Research Center
San Francisco Institute for Hyperbaric
Medicine
Casa Colina
Kessler Institute for Rehabilitation
San Jose State University
WETA
Center on Brain Injury Research & Training
Western Oregon University
Kindred Healthcare
SanBio
World Innovation Institute
Leon S. Peters Rehabilitation Center
Santa Clara Valley Medical Center
Yahoo
Loma Linda University Medical Center
Scheiman Rebuild Fitness
Lucile Packard Children’s Hospital
Shea and Shea Law Corporation
Ludlow Law Office
Silicon Valley Independent Living Center
Central Coast Center for Independent Living
Centre for Neuro Skills
College of Alameda
Wellness Strategies PC
And more...
Commonwealth of the Northern Mariana
SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS — 3
Exhibit Opportunities
Exhibit booths will be set up throughout the duration of the conference. During breaks, all food items are available in the exhibit
area to ensure activity. Exhibitors will be listed within the conference program and have access to all main conference educational
sessions. Hosting an exhibit is a great way to increase your visibility and support the conference!
NON-PROFIT EXHIBIT
•
One full complimentary registration to the main conference
(additional pre-conference & full conference registrations may
be purchased for staff, clients, etc.)
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All conference breaks, meals, and the reception
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One 6 foot table with drapery & chair
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500 character exhibitor description in program
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Copy of attendee list
•
Listing on website as exhibitor
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$800 early registration ($1000 after 11/30/2014)
STANDARD EXHIBIT
•
One full complimentary registration to the main conference
(additional pre-conference & full conference registrations may
be purchased for staff, clients, etc.)
•
All conference breaks, meals, and the reception
•
One 6 foot table with drapery & chair (recommended to
remove valuables nightly; not secure overnight)
•
500 character exhibitor description in program
•
Copy of attendee list
•
Listing on website as exhibitor
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$1250 early registration ($1500 after 11/30/2014)
PREMIUM EXHIBIT
•
One full complimentary registration to the main conference
(additional pre-conference & full conference registrations may
be purchased for staff, clients, etc.)
•
All conference breaks, meals, and the reception
•
One 6 foot table with drapery & chair (locked overnight,
no nightly break-down needed for valuables)
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Electricity
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500 character exhibitor description in program (+logo)
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Copy of attendee list
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Listing on website as exhibitor
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$1500 early registration ($2000 after 11/30/2014)
4 — SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS
2015 Conference Exhibit Placement
Exhibit placement is first-come, first served, so make your reservations early to secure the best location. Location will be confirmed upon receipt.
Past Conference Exhibitors
Alliance Labs-Enemeez
College of Adaptive Arts
Continuity Care Home Nurses
National Institute on Disability and Rehabilitation Research
San-Bio
American Congress of Rehabilitation Medicine
CVH Home Health Services
Neuropychology Associates
Santa Clara Valley Medical Center
Avanir Pharmaceuticals
Defense and Veterans Brain Injury Center
North Coast Medical
Scheiman Rebuild Fitness
Brain-Aid
Dick Alexander Law Firm
Oxy Health, LLC
Services for Brain Injury
Hocoma, Inc.
Pacific Medical
Shea & Shea Law Firm
Home Care Assistance
Pate Rehabilitation
Shield Healthcare
Kay’s Coaching & Expressive Arts
Patterson Medical
Solutions at Santa Barbara
Kentfield Rehabilitation & Specialty Hospital
ProtoKinetics
Stratus Pharmaceuticals
VMC Foundation
ATG Rehab
Brain Injury Association of California
BrainFx, Inc.
Burr Pilger Mayer Accountants and Consultants
San Francisco General Hospital
Kershaw Cutter & Ratinoff
QuesGen Systems, Inc.
California Telephone Access Program
Kindred Hospital /Rehab Care
Rehab Care
CareMeridian
Lash & Assoc. Publishing/Training, Inc.
Rehab Without Walls
War Related Illness & Injury Study Center
(WRIISC)
Casa Colinas Centers for Rehabiliation
Learning Services
Rehabilitation Care Coordination
Whole Foods Market
Centre for Neuro Skills
MediServ
Rescare (Gentiva)
Wolters Kluwer Heath
Mobility Works
Restorative Therapies, Inc.
Bryman Healthcare
Century Council
Past Exhibitor Comments
“We were new to this event and found the participants very eager to know about us and our products.”
“We enjoyed networking with the other vendors, seeing new inventive treatment approaches (potential supplier
for us) and exposing clients/families/caregivers/therapists to our unique therapy products. There was a great variety of therapists and medical providers who were able to learn about our new products (PT, OT, ST, RT).”
“Attendees represented a great cross section of providers and
expertise at upper level for decision making on products and
programs.”
“Since we are located in Southern California, this was a good
opportunity to network with individuals and businesses in
the Northern California area.”
“There were a lot of people interested in TBI research!”
“Thanks for creating an inspiring and informative conference.
The event ran smoothly.”
“Conference staff were great to work with!“
“This was one of the best conferences I have exhibited
and presented at!”
“Staff were very helpful, positive and approachable.”
SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS — 5
Sponsorship Opportunities
Individuals and organizations can make a lasting impression on SCVBIC attendees by helping to support the conference as a
Silver, Gold, or Platinum Sponsor. With increased levels of support come increased benefits.
SILVER SPONSOR
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$2500 Investment
One full registration to the main conference
(additional pre-conference & full conference registrations may be purchased for staff, clients, etc.)
All conference breaks, meals, and the reception
Name listed on onsite signage
A badge ribbon indicating distinguished level of support
A listing by sponsorship level within the conference program
Logo on recognition slides during conference breaks
Logo in sponsor section w/500 character statement
Use of attendees list
Listing on conference website as silver sponsor
GOLD SPonsor
$5000 Investment
1. Complimentary standard exhibit booth including one
complimentary registration (additional pre-conference & full
conference registrations may be purchased for staff, clients, etc.)
2. All conference breaks, meals, and the reception
3. Logo listed on onsite signage
4. A badge ribbon indicating distinguished level of support
5. A listing by sponsorship level within the conference program
6. Logo on recognition slides during conference breaks
7. Logo in sponsor section w/500 character statement
8. Half page ad within the printed conference program
9. Use of attendees list
10. Inclusion of 1 Powerpoint ad slide rotating continuously
throughout all conference breaks.
11. Listing on conference website as gold sponsor
PLATINUM SPONSOR
$10000+ Investment
1. Complimentary premium exhibit booth including one complimentary registration (additional pre-conference & full conference
registrations may be purchased for staff, clients, etc.)
2. All conference breaks, meals, and the reception
3. Logo listed on onsite signage
4. A badge ribbon indicating distinguished level of support
5. A listing by sponsorship level within the conference program
6. Logo on recognition slides during conference breaks
7. Logo in sponsor section w/500 character statement
8. Full page ad within the printed conference program
9. Use of attendees list
10. Inclusion of 1 Powerpoint ad slide rotating continuously throughout all conference breaks.
11. Listing on conference website as platinum sponsor
12. Special recognition at the reception
13. Physical banners in main area
14. Insertion of 1 sponsor provided promotional item for each attendee’s conference bag
15. Verbal acknowledgement and recognition during the opening and closing general sessions
16. Listing of sponsorship on program cover
6 — SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS
Sponsorship Opportunities
SESSION/EVENT SPONSORSHIP
The following opportunities are available as additional marketing opportunities throughout the conference:
VOLUNTEER T-SHIRT LOGO
FLASH DRIVE SPONSOR
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Your logo printed along with other t-shirt sponsors on the
back of all volunteer t-shirts to be worn throughout the
conference
$200 investment (ten available or $2000 for exclusive logo
placement)
MATERIALS TABLE
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Your company brochure/newsletter/flyer displayed on an
information table near registration
Group listing in conference program encouraging people to
stop by materials table
$250 investment
MEETING BAG INSERT SPONSORS
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One sponsor supplied promotional item/flyer placed in every
attendee’s meeting bag
$500 investment
WIFI SPONSOR
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Listing on conference website as WIFI sponsor
Postcard insert in all conference bags with internet login
instructions on one side and your company’s half page ad
on reverse
Logo in sponsor section w/500 character statement
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$2500 investment (one available)
LANYARD SPONSOR
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Listing on conference website as lanyard sponsor
Your company name and logo on lanyard
Logo in sponsor section w/500 character statement
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$2500 investment (one available)
MEETING BAG SPONSOR
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Each conference attendee, exhibitor, and supporter will receive a tote bag to hold conference and exhibit materials.
Your company will have its logo or advertisement displayed
on one side of the bag
Logo in the conference program as a meeting bag sponsor
w/500 character statement
$5000 investment (one available)
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Listing on conference website as flash drive sponsor
Your company logo on flash drive along with conference
logo
Logo in sponsor section w/500 character statement
Inclusion of 1 Powerpoint ad slide rotating continuously
throughout all conference breaks.
$5000 Investment (one available)
SCHOLARSHIP SPONSOR
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Listing on conference website as scholarship sponsor
1 full page ad in conference program
2 full-conference registrations (additional pre-conf. & full
conf. may be purchased for staff, clients, etc).
Logo in sponsor section w/500 character statement
Use of attendees list
Insertion of 1 sponsor provided promotional item for each
attendee’s conference bag
Inclusion of 1 Powerpoint ad slide rotating continuously
throughout all conference breaks.
Verbal acknowledgement and recognition during the opening and closing general session
$10000 investment (one available)
LUNCH PRESENTATION SPONSOR
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Listing on conference website as lunch presentation sponsor
1 full page ad in conference program
Inclusive of all food & beverages
Sponsor created 30 minute panel/speaker
2 full-conference registrations (additional pre-conf. & full
conf. may be purchased for staff, clients, etc).
Onsite signage at lunch
Logo in sponsor section w/500 character statement
Use of attendees list
Insertion of 1 sponsor provided promotional item for each
attendee’s conference bag
Inclusion of 1 Powerpoint ad slide rotating continuously
throughout all conference breaks.
Verbal acknowledgement and recognition during the opening and closing general sessions
$12500 investment (two available)
SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS — 7
Sponsorship Opportunities
Advertising Opportunities
SESSION/EVENT SPONSORSHIP
ADVERTISE IN THE CONFERENCE PROGRAM
RECEPTION SPONSOR
Have your 4-color advertisement seen throughout the
conference as attendees use the conference program
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Listing on conference website as award & reception ceremony
sponsor
1 full page ad in conference program
Inclusive of all food & beverages
2 full-conference registrations (additional pre-conf. & full
conf. may be purchased for staff, clients, etc).
Onsite signage at reception and award ceremony
Logo in sponsor section w/500 character statement
Use of attendees list
Insertion of 1 sponsor provided promotional item for each
attendee’s conference bag
Inclusion of 1 power-point ad slide rotating continuously
throughout all conference breaks.
Verbal acknowledgement and recognition during the opening and closing general sessions
$15000 investment (one available)
AUDIOVISUAL SPONSOR
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Listing on conference website as audiovisual sponsor
1 full page ad in conference program
2 full-conference registrations (additional pre-conf. & full
conf. may be purchased for staff, clients, etc).
Logo in sponsor section w/500 character statement
Use of attendees list
Insertion of 1 sponsor provided promotional item for each
attendee’s conference bag
Inclusion of 1 power-point ad slide rotating continuously
throughout all conference breaks.
Verbal acknowledgement and recognition during the opening general session, keynote, and closing
$15000 investment (one available)
For additional information on any of the Sponsor or
Exhibitor packages please call Stephanie KolakowskyHayner at 408.793.6446.
Full page
81/2” x 11” (can bleed on four sides, 9” x 111/2”)
$500
Inside front cover Full page, one available
$850
Inside back cover Full page, one available
$850
Outside back cover Full page, one available
$1500
Half page 81/2” x 51/2” (can bleed on three sides, 9” x 53/4”)
$300
Quarter page 41/4” x 51/2” (can bleed on two sides, 41/2” x 53/4)
$200
Please supply only TIFF, EPS, or PDF print-ready files. Images
should be 300 DPI or higher. For EPS files, all fonts should be
outlined and all images should be provided. For PDF files, all fonts
must be embedded.
Deadline for receipt of advertising files is January 9, 2015.
Please contact Jerry Wright at [email protected] or
408.793-6430 for additional information.
CANCELLATION AND REFUND POLICY
Exhibit, sponsorship, and advertising cancellations must be
submitted in writing. Cancellations received by January 9,
2015 will be refunded less a $150 processing fee. There are
no refunds for cancellations received after January 9, 2015.
Hotel reservations must be cancelled directly through the
Hotel, and are subject to Hotel Policies. Deposits are refundable if Santa Clara Marriott Hotel receives notice of cancellation at least 7 days prior to scheduled arrival.
IMPORTANT DATES
Early Bird Discount Expiration11/30/2014
Deadline for Logo Products12/15/2014
(Meeting bag, lanyard, flash drive)
Deadline for Logo Inclusion in Program1/9/2015
Cancellation Deadline1/9/2015
8 — SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS
One conference registration
Two conference registrations
Standard Exhibit
Premium Exhibit
Name on onsite signage
Logo on onsite signage
Non-profit
Exhibit
Standard
Exhibit
Premium
Exhibit
Silver
Supporter
✓
Gold
Supporter
✓
Platinum
Supporter
Volunteer
T-shirt
Materials
Table
Meeting
Bag Insert
WIFI
Lanyard
Meeting
Bag
Flash Drive Scholarship
Lunch
Presentation
Award &
Audiovisual
Reception
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Full page ad in program
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Rotating advertisement slide
Special recognition at
reception
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Logo in sponsor section
Physical banner
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Badge ribbon
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Listing in program
Use of the attendee list
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Logo on recognition slides
Listing on conference
website
Inserted item in conference
bag
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Verbal recognition at opening and closing
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Half page ad in program
Logo on program cover
SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS — 9
Attendee Schedule at a Glance
Exhibitor Schedule at a Glance
Thursday, February 5
7:00 - 8:00 AM
Preconference 1 & 2 Registration
8:00 - 12:00 PM
Preconference Sessions 1 & 2
12:00 - 1:00 PM
Preconference 3 & 4 Registration
1:00 - 5:00 PM
Preconference Sessions 3 & 4
2:00 - 5:00 PM
Main Conference & Exhibitor Registration
Thursday, February 5
2:00 PM - 5:00 PM
Friday, February 6
7:00 - 8:00 AM
Breakfast/Registration/Visit Exhibits
8:00 - 8:15 AM
Welcome Announcements & Awards
8:15- 9:15 AM
Keynote
9:20- 10:50 AM
Plenary Presentation 1
10:50 - 11:20 AM
Networking Break & Visit Exhibits
11:20 AM - 12:20 PM
Breakout Sessions 1-4
12:20 - 1:20 PM
Sponsored Networking Lunch
1:30 - 2:30 PM
Breakout Sessions 5-8
2:30 - 3:00 PM
Networking Break & Visit Exhibits
3:00- 3:45 PM
Platform Sessions 1-12
3:55 - 4:55 PM
Plenary Presentation 2
5:30 - 7:30 PM
Reception with Exhibitors & Poster Session
Saturday, February 7
7:00 - 8:00 AM
8:00 - 8:15 AM
8:15 - 9:15 AM
9:20 - 10:50 AM
10:50 - 11:20 AM
11:20 AM - 12:05 PM
12:05 - 1:05 PM
1:15 - 2:15 PM
2:15 - 2:45 PM
2:45 - 3:45 PM
3:55 - 4:55 PM
4:55 - 5:00 PM
Breakfast/Registration/Visit Exhibits
Morning Announcements & Awards
Plenary Presentation 3
Plenary Presentation 4
Networking Break & Visit Exhibits
Platform Presentations13-24
Sponsored Networking Lunch
Breakout Sessions 9-12
Networking Break & Visit Exhibits
Breakout Sessions 13-16
Plenary Presentation 5
Conference Wrap-up & Thank You
1 0 — SCVBIC | EXHIBITOR/SPONSOR PROSPECTUS
Registration/Set-up
Friday, February 6
7:00 - 8:00 AM
Breakfast/Registration/Visit Exhibits
10:50 - 11:20 AM
Networking Break & Visit Exhibits
2:30 - 3:00 PM
Networking Break & Visit Exhibits
5:30 - 7:30 PM
Poster Sessions/Reception with Exhibitors
Saturday, February 7
7:00 - 8:00 AM
10:50 - 11:20 AM
2:15 - 2:45 PM
3:45 - 4:45 PM
4:55 - 5:00 PM
Breakfast/Registration/Visit Exhibits
Networking Break & Visit Exhibits
Networking Break & Visit Exhibits
Exhibitor break down
Conference Wrap-up/Thank You
IMPORTANT DATES
Early Bird Discount Expiration11/30/2014
Deadline for Logo Inclusion in Program1/9/2015
Cancellation Deadline1/9/2015
Sponsorship & Exhibitor Form
The 4th Annual Santa Clara Valley Brain Injury
Conference: Building on the Legacy of Coma to
Community
Presented by the Santa Clara Valley Medical Center
Rehabilitation Research Center
Sponsor Information
We would like to be a:
Platinum Sponsor (Exhibit Fee: $10,000)
Gold Sponsor (Exhibit Fee: $5,000)
Silver Sponsor (Exhibit Fee $2,500)
Exhibitor Information
We wish to exhibit at the 4th Annual Santa Clara Valley
Conference February 5 – February 7, 2015.
Non-Profit Exhibit (Exhibit Fee: $800/$1000)
Federal Tax Identification Number (TIN)
Standard Exhibit (Exhibit Fee: $1,250/$1500)
Other Sponsor
( Type:
Fee
Organization Name:
Contact Person:
Premium Exhibit (Exhibit Fee: $1,500/$2000)
Organization Name:
Contact Person:
Address:
City, State, Zip Code
Contact Person Email Address:
Address:
City, State, Zip Code
Contact Person Email Address:
Contact Person Telephone Number:
Brief Description of Product or Service
Contact Person Telephone Number:
If your level of sponsorship comes with registration:
Brief Description of Product or Service
Name 1 (Exactly as it is to appear on the badge)
Name 2 (Exactly as it is to appear on the badge)
The non-profit, standard and premium exhibit fee
includes 1 full registration for the conference. A badge
will be issued to the following
representative/registrant:
Name 1 (Exactly as it is to appear on the badge)
)
Sponsorship & Exhibitor Form
The 4th Annual Santa Clara Valley Brain Injury
Conference
Presented by the Santa Clara Valley Medical Center
Rehabilitation Research Center
Payment Information
Please make checks payable to the VMC Foundation,
c/o TBI Conference Fund
Enclosed is a check for $_______________
Please charge my credit card for $____________
Card type:
Visa
MC
Amex
Card Number:
________________________________________
Expiration Date:
________________________________________
Security Code:
________________________________________
Cardholder’s Name:
________________________________________
Terms and Conditions:
1. Non-Profit exhibitor fee includes: one registration to
the main conference, one six-foot table with
drapery and chair in the conference hallway (not
secure—must remove valuables nightly), all
conference breaks, meals and the reception, use of
the attendee list, listing in the conference program
and on the conference website.
2. Standard exhibit space includes: one registration to
the main conference, one six-foot table with
drapery and chair in the conference hallway (not
secure—must remove valuables nightly), all
conference breaks, meals and the reception, use of
the attendee list, listing in the conference program
and on the conference website.
3. Premium exhibitor fee includes: one registration to
the main conference, one six-foot table with
drapery and chair within the exhibit/reception hall
(secure area/locked nightly), electricity, all
conference breaks, meals and the reception, use of
the attendee list, listing in the conference program
and on the conference website.
4. Space is limited, and will be reserved on a first-come,
first-serve basis as payment is received.
Billing Address:
________________________________________
Questions?
City, State, Zip Code:
________________________________________
For sponsorship or exhibitor questions, please call
Stephanie Kolakowsky-Hayner at 408.793.6446 or
email to Stephanie [email protected]
Phone:
________________________________________
Completed forms can be mailed to:
SCVBIC Conference
Attn: Stephanie Kolakowsky-Hayner
c/o Rehabilitation Research Center
751 S. Bascom Avenue
San Jose, CA 95128
or faxed to 408.793.6434
Terms, Conditions and Purposes of Exhibiting at a CME Program
CME Activity: SANTA CLARA VALLEY BRAIN INJURY CONFERENCE
The above company wishes to exhibit or sponsor at this CME activity. An exhibit fee or sponsorship fee in the
amount of $______________________ will be used to provide unrestricted support for the CME Activity.
1. Statement of Purpose: This CME program is for scientific and educational purposes only and will not
promote the company’s products, directly or indirectly.
2. Ancillary Promotional Activities:
a. Arrangements for exhibits may neither influence planning nor interfere with the presentation of the
educational activity;
b. Commercial/promotional materials may not be displayed nor distributed in the same room immediately
before, during, or immediately after the CME activity nor in any material disseminated as part of the
program;
c. Representatives of commercial supporters and exhibitors may attend the CME activity if they wish, but
may not engage in sales activity in the room where the educational activity is held.
3. Objectivity & Balance: SCVMC CME Committee will make every effort to ensure that data regarding the
company’s products (or competing products) are objectively selected and presented, with favorable and
unfavorable information, and balanced discussion of prevailing information on the product(s) and/or
alternative treatments.
4. Independence of VMC Foundation and CME planners in the use of Contributed Funds: No
additional funds from the commercial company will be paid to the program director, faculty, or others
Involved with the CME activity (additional honoraria, extra social events, activity refreshments/meals, etc.)
No funds from the Commercial Interest will be used to reimburse or defray the costs of traveling, or other
personal expenses of non-faculty healthcare professionals attending continuing medical education activities.
5. The Exhibitor/Supporter agrees to abide by all requirements of the ACCME Standards for Commercial Support
of Continuing Medical Education and the Administrative Policies and Procedure Manual of SCVMC VMC #
154.02 regarding Standards for Commercial Support at SCVMC
6. Upon request, furnish the Commercial Interest and CME Committee with documentation detailing the
receipt and expenditure of the Commercial Support. The SCVMC designated Course chair/ CME
planner agrees that the Commercial Support will be used only for the support of SCVMC CME activities
Approved by SCVMC CME Committee 2014
Company Representative (name):
Title:
Signature
Date
Signature
Date
VMC Foundation Executive
Director
or Designee (name):