ASPMN Conference Sponsorship & Exhibitor Form

Please indicate what package you wish to purchase below. Packages are limited and you will be contacted if your choice is no longer available.

Once your request has been received you will receive confirmation and an invoice that is payable by check or credit card.

Exhibit pass contact information will be requested closer to the conference.

View our Conference Sponsor Prospectus

Organization:*

(Business, Organization or Individual)

Organization Website:*

Name of Primary Contact (this person will be in charge of sponsorship):*

E-mail:*

example@example.com

Primary Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Billing Contact (if different from primary contact)

Billing Contact Email (if different from primary contact)

Please provide a high-resolution company logo for inclusion in event materials and conference signage.*

PAYMENT TERMS:

Full payment (in US dollars) is due 30 days after receipt of invoice. Sponsorships are not guaranteed until payment is received in full.

Accepted methods of payment: ACH, Visa, Mastercard, American Express. We also accept checks payable to:

American Society for Pain Management Nursing
673 Potomac Station Drive
#801
Leesburg, VA 20176

Sponsorships are not guaranteed until payment is received in full.

Breakfast Symposium (3 available - Thursday, Friday or Saturday)Lunch Symposium (1 available - Thursday)

Welcome Reception SponsorshipEvening Social GatheringBreakfast (based on availabitity)

Conference WiFiRefreshment Break (4 available)

Hotel Key Cards )Conference Tote Bags

Conference Note Pad or PensConference Lanyards

Conference Tote Bag Only - $1,000Lanyard Only - $1,000Promotional Item for Conference Tote Bag - $750Conference Registration Mailing List (emails not included) - $400

Exhibit Table with one exhibitor pass - $1,500Additional Exhibit Representative - $150/each additional reprensentative

How many extra exhibit passes will you need?