VASM Exhibit Registration Form 2022

2022 Annual Meeting | Exhibitor Registration Form

Hilton Richmond Hotel & Spa @ Short Pump | Richmond, VA | November 3 & 4, 2022
If you would like to exhibit at the 2022 Annual Meeting of the VASM, please complete the following application and submit it no later than October 21, 2022.

All exhibitor fees must be paid in full prior to the conference.

Tax ID: 26-3739565.
Company Information
Company Name *
As it will appear on all conference material
Contact Full Name *
Contact Phone Number *
Please enter a valid phone number.
Contact Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State

Zip Code
Main On-site Contact

First Name Last Name
Email
example@example.com
Representative 2

First Name Last Name
Email
example@example.com
Representative 3 - Diamond Level | 4 registrations & Product Theater | 6 registrations

First Name Last Name
Email
example@example.com
Representative 4 - Diamond Level | 4 registrations & Product Theater | 6 registrations

First Name Last Name
Email
example@example.com
Representative 5 - Product Theater | 6 registrations

First Name Last Name
Email
example@example.com
Representative 5 - Product Theater | 6 registrations

First Name Last Name
Email
example@example.com
Indicate below companies you DO NOT wish to be near. If none, enter N/A
Exhibitor Directory
For inclusion in the online Exhibitor Directory, please send to smcconnell@ramdocs.org no later than October 1, 2022:
- high-res company logo (jpeg or png)
- a short company description (30-40 words max)
- contact information for reps
- website link and/or links to social media platforms
- PDFs or video links to products/services (optional)
Book the room that best meets your needs! Call the Short Pump Hilton at 804-364-3600 and ask for the Virginia Academy of Sleep Medicine discounted rate of $142.00. Hurry! Room block expires on Thursday, October 13, 2022, but rooms may sell out before then.
Payment Information
Exhibit space confirmation, registration and other details will be sent to the main on-site contact person listed above.

Full payment is due no later than October 21, 2022.

Cancellation/Refunds: An exhibitor may cancel or withdraw from the meeting subject to the following conditions: 1) the exhibitor shall immediately file a written notice of intention to cancel or withdraw; 2) if written notice is received 30 days or more prior, the VA-ACS shall retain a sum of equal to fifty percent (50%) of the total cost of the reserved exhibit space; and 3) no refunds shall be made on cancellations received less than 30 days in advance of the meeting. Cancellations must be received in writing to smcconnell@ramdocs.org to be official.
Payment Type *

Credit Card Check
Credit Card Payment

If paying via credit card, make your selection below, provide credit card information, sign and click Submit. An email confirmation will be sent. If you have any questions, contact Susan McConnell at smcconnell@ramdocs.org or 804-622-8139.
Check Payment

If paying via check, make your selection below, sign and click Submit. An email confirmation will be sent to confirm receipt of application. If you have any questions, contact Susan McConnell at smcconnell@ramdocs.org or 804.622.8139. Check payments should not include the convenience fee listed for online payment.
Exhibit Level Selection *
Multiple selections can be selected by using CTL and clicking on selection
Check Payment: Make check(s) payable to: VASM

Do not include convenience fee if paying by check.

Send payment to:

VASM
Attn: Susan McConnell
2821 Emerywood Parway, Ste. 200
Richmond, VA 23294

Exhibit Opportunities *

Exhibit Opportunities

Gold Level One 6 ft table and 2 chairs for Thursday and Friday to connect directly with attendees | Complimentary registrations for 2 to all meeting sessions | Two tickets to the Welcome Reception at the Hilton | Company information inclusion in Virtual Exhibit Hall indicating Gold Level Support ~ (Company Logo, Description, Website, Social Media, Representatives, PDFs, clickable links to Zoom link/video/survey/ website with option for attendees to request more information) | Recognition as Gold Contributor in all meeting material including program agenda, signage, looping meeting slides and more | Participation in "Play to Win" raffle | Digital access to Attendee list | One Facebook post, Tweet or LinkedIn post about company's attendance at the meeting

$ 1,560.00

Diamond Level All Gold Level benefits listed above, but with four tickets to Welcome Reception | TWO exhibit tables for maximum exposure | First choice of placement in exhibit hall | Recognition as Diamond Contributor in all meeting material | Specific signage indicating Diamond Level Support | Podium announcement of support by VASM President | Four Facebook or LinkedIn posts recognizing company's support Exclusive top placement on Virtual Exhibit Hall | Banner ad on VDS website announcing event

$ 2,600.00

Product Theater All Diamond Level benefits listed above, but with 5 tickets to Welcome Reception | Host a Non-CME Product Theater for attendees. Speaker can be in person or virtual. | Includes basic AV, room rental, and email blast to attendees advertising the event. The event would be included on the agenda noting the speaker, topic, and your company name/product logo (if preferred). Company to provide the speaker and cover speaker fees | Opportunities include: Dinner on Thursday night, Coffee Chat on Friday morning or Lunch & Learn on Friday afternoon | Half-page ad in the printed program agenda | Five registrations to all sessions | Ability to submit 2 articles for inclusion in e-newsletters (must be used within 6 months) | Digital access to meeting attendee list | Assistance with program coordination and execution | Banner ad on VASM website announcing event

$ 5,200.00

Exhibit Packages

Lunch Sponsor Recognition as Boxed Lunch sponsor in all meeting material, both printed and online | Have your company sign greet attendees when they break during sessions | Podium announcement of company support by VASM President

$ 3,120.00

ADD-ON: Refreshment Break Sponsor Recognition as Refreshment Break sponsor in all meeting material, both printed and online | Have your company sign greet attendees when they break during sessions | Podium announcement of company support by VDS President

$ 2,600.00

ADD-ON: Poster Session Sponsor Recognition as Resident Session sponsor in all meeting material, both printed and online | Have your company sign greet attendees during Resident Poster Session | Podium announcement of company support by VDS President

$ 2,080.00

ADD-ON: Attendee Bag Sponsor Have your company name/logo on each attendee's reusable bag | Recognition as reusable bag sponsor in all meeting material, both printed and online | Podium announcement of company support by VDS President

$ 1,560.00

ADD-ON: Marketing Sponsor Company advertisement in three meeting marketing emails, VDS website, and on social media channels | Podium announcement of company support by VDS President

$ 780.00

ADD-ON: Gift Card Raffle Participate in the gift card raffle to be held throughout the conference. Your company will be recognized for your contribution. (VASM will purchase gift cards - no need to take gift cards to the meeting).

$ 25.00 Quantity

Enter coupon

Total

$ 0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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2022 Annual Meeting | Exhibitor Registration Form

Company Information

Exhibitor Directory

Payment Information

Credit Card Payment

Check Payment