VASM Exhibit Registration Form 2023

2023 Annual Meeting | Exhibitor Registration Form

Hilton Richmond Hotel & Spa @ Short Pump | Richmond, VA | November 2 & 3, 2023
If you would like to exhibit at the 2023 Annual Meeting of the VASM, please complete the following application and submit it no later than October 20, 2023.

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 (Gold Level and higher)

First Name Last Name
Email
example@example.com
Representative 3 (Diamond Level & higher)

First Name Last Name
Email
example@example.com
Representative 4 ( Diamond Level and higher)

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

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 complete the following:
Short Company Description (30-40 words)
High Resolution Company Logo

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Cancelof
Company Website
Social Media Platforms
Rep Contact Information (include names and email addresses to list online)
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 20, 2023.

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 CardCheck
Credit Card Payment

If paying via credit card, make your selection below, provide credit card information, 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 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 *
Categories:All

All

Exhibit Opportunities

Exhibit Packages
prevnext( X )
Exhibit Opportunities

Gold LevelOne 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 LevelAll 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



Previously RegisteredUse only if you have previously registered, but need to select an ADD ON from the options below.
$ Free



Exhibit Packages

ADD-ON: Product TheaterAll 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



ADD-ON: Lunch SponsorRecognition 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 SponsorRecognition 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 SponsorRecognition 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 SponsorHave 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 SponsorCompany 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 RaffleParticipate 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



Additional Rep BadgeAdditional badges over the quantity included in your level of support
$100.00 Quantity



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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2023 Annual Meeting | Exhibitor Registration Form

Company Information

Exhibitor Directory

Payment Information

Credit Card Payment

Check Payment