ORNAC - 28th conference sponsorship form

ORNAC - 28th conference sponsorship form
Registration for Sponsorships for the 2023 ORNAC National Conferences (In-person & Virtual)

Please complete the following form. An invoice will be sent to you once the completed form has been received.
All information is from the 2023 Exhibitor Prospectus. Thank you for your continued support of ORNAC!

**INFORMATION SPECIFIC TO THE VIRTUAL CONFERENCE WILL BE SENT OUT AT A LATER DATE TO THE COMPANY'S MAIN CONTACT LISTED BELOW.
Which sponsorship level are you interested in?*

PlatinumGoldSilverBronze
Platinum
Gold
Silver
Bronze
Invoicing identification
Full name*

First name Last name
Company name*
Email*
Phone number*
.
Extension
Adress*

number and street

line 2

City Province

Postal code
Additional information needed
Are you a corporate Associate of ORNAC?*

YesNo
Please identify the primary contact(s) name, email and phone number for your company to be used for both the in-person and virtual 2023 conferences.*
You are entitled to 4 booths at the In-Person Trade show. Will you be using all 4? Will you be requiring more? (Additional booth purchases are negotiable). Virtual booths are accounted for separately and not part of your in-person entitlement.*

YesNoAdditional booth space
Please identify the 8 company representatives that will be at your booth. Additional company representative purchases are negotiable, please contact us.*
Sponsorship includes 8 tickets to the Gala event on Thursday evening. Do you wish to add any additional tickets?*

YesNo
How many?
Are there any dietary restrictions or allergies to note? Please list below the name and details.
You have the opportunity to host an Educational Breakfast, will you be exercising this option?*

YesNo
You have the opportunity to be recognised as a Co-sponsor of a Social Event, will you be exercising this option?*

NoYes - Welcome Reception in the Vendor HallYes - Gala receptionYes - Member appreciation nightYes - Delegate lunchYes - Nutritional / health breaks
You are entitled to the "Supplemental Opportunities" as outlined in the 2023 Prospectus. Please identify any option you wish to purchase.*

Opening Keynote SpeakerClosing Keynote SpeakerFrench translationName tag sponsorDelegate bag sponsorMobile appMini industry symposiumConcurrent educational session sponsorshipDo not wish to excersice this option
What additional information does your Quality Assurance Department require from the ORNAC Conference Committee to secure support?
Are there any additional comments or questions?
You are entitled to 2 booths. Will you be using both? Will you be requiring more? (Additional booth purchases are negotiable). Virtual booths are accounted for separately and not part of your in-person entitlement.*

YesNoAdditional booth space
Please identify the 4 company representatives that will be at your booth. Additional company representative purchases are negotiable, please contact us.*
Sponsorship includes 4 tickets to the Gala event on Thursday evening. Do you wish to add any additional tickets?*

YesNo
How many*
Are there any dietary restrictions or allergies to note? Please list below the name and details.*
You have the opportunity to host an Educational Breakfast, will you be exercising this option?*

YesNo
You have the opportunity to be recognised as a Co-sponsor of a Social Event, will you be exercising this option?*

NoYes - Welcome reception in the vendor hallYes - Gala receptionYes - Member appreciation nightYes - Delegate lunchesYes - Nutritional/health breaks
You are entitled to the "Supplemental Opportunities" as outlined in the 2023 Prospectus. Please identify any option you wish to purchase.*

Opening Keynote SpeakerClosing Keynote SpeakerFrench translationName tag sponsorDelegate bag sponsorMobile appMini industry symposiumConcurrent educational session sponsorshipDo not wish to excersice this option
What additional information does your Quality Assurance Department require from the ORNAC Conference Committee to secure support?
Are there any additional comments or questions?
You are entitled to a single booth. Will you be wanting more? (Additional booth purchases are negotiable). Virtual booths are accounted for separately and not part of your in-person entitlement.*

YesNo
Please identify the 2 company representatives that will be at your booth. Additional company representative purchases are negotiable, please contact us.*
Sponsorship includes 2 tickets to the Gala event on Thursday evening. Do you wish to add any additional tickets?*

YesNo
How many*
Are there any dietary restrictions or allergies to note? Please list below the name and details.*
You are entitled to the "Supplemental Opportunities" as outlined in the 2023 Prospectus. Please identify any option you wish to purchase.*

Opening Keynote SpeakerClosing Keynote SpeakerFrench translationName tag sponsorDelegate bag sponsorMobile appMini industry symposiumConcurrent educational session sponsorshipDo not wish to excersice this option
What additional information does your Quality Assurance Department require from the ORNAC Conference Committee to secure support?
Are there any additional comments or questions?
Form of payment for Invoice

Credit cardElectronic transfer (EFT)
Sponsorship level
prevnext( X )
Platinum
$23,000.00CAD



Gold
$15,000.00CAD



Silver
$8,500.00CAD



Bronze
$5,000.00CAD



Additional booth
$3,600.00CAD Quantity



Additonal vendors
$230.00CAD Quantity



Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD
*

By submitting this form, I understand that this acts as a contract with ORNAC and that it is not possible to revoke a submitted partnership.
Signature*

Clear
For more information, please contact conference@ornac.ca
Should be Empty:

ORNAC - 28th conference sponsorship form

Platinum

Gold

Silver

Bronze

Invoicing identification

Additional information needed