Michele Pirc

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December 12, 2017 Dear Exhibitor, You are invited to participate in the Ohio Chapter of the Gerontological Advanced Practice Nurses Association’s (GAPNA) annual conference. GAPNA is holding its tenth Ohio conference, “Building Skills and Advancing Excellence in Geriatric Care” on Saturday April 14, 2018 at Embassy Suites Akron Canton Airport 7883 Freedom Ave NW, North Canton, Ohio 44720. It is anticipated that the conference will draw around 75 attendees, all of whom are decision makers regarding senior health care provided in Ohio. We are excited to offer your company the opportunity to be seen and heard in an exclusive setting of advanced practice nurses, all of whom specialize in health care delivery to the elderly. As your company may be present throughout the entire day, we are also including over an hour dedicated to exhibits. Sponsorship opportunities include a Friday night dinner meeting, breakfast or lunch the day of the conference. Do not miss this opportunity to be a part of an exceptional conference! Please feel free to contact Michele Pirc at 440-231-9143or [email protected] if you are interested in sponsoring this event or if you have further questions. Sincerely,

Michele Pirc Ohio GAPNA President

Ohio Chapter of the Gerontological Advanced Practice Nurse Association Exhibitor and Sponsorship Registration Form 10th Annual Conference Building Skills and Advancing Excellence in Geriatric Care April 14, 2018 Embassy Suites Akron Canton Airport 7883 Freedom Ave NW, North Canton, Ohio 44720. Exhibit Date: April 14, 2018 7:00am- 5:00pm Set up date: April 14, 2018 6:00am-7:00am Company Name:________________________________________________________ Contact Name:__________________________________________________________ Address:______________________________________________ _________________ City:___ ____________ ___________________________________________________ State:____ ____________________Zip:____ __________________________ Submitted By:___ ___________________Title:______________________________ Phone:____________Fax:________________________ Email:________________________________________________________ (print or type information) Exhibit Booth Fee $300 All booths will be equipped with a table, skirting, chair and power. 1. List any exhibitor you wish to be near _______________________________ 2. List any exhibitor you DO NOT wish to be near________________________ Dinner Sponsor - Friday April 13, 2018 If you are interested in future dinner meeting opportunity, please let me know. Exhibit fee will be included. Breakfast or Lunch Sponsor – April 14, 2018 If you are interested in the breakfast or lunch sponsorship, please let me know. Exhibit fee will be included. Breakfast cost is $900 and Lunch cost is $1125 Contact Person: Michele Pirc at [email protected] Phone: 440-231-9143

Registration Forms and payment must be received April 1, 2018 to participate.

Checks payable to “Ohio GAPNA” and return this form to: OHIO GAPNA 5301 E Heisley Rd Mentor, Ohio 44060 Exhibitor Agreement Payment of fees and signature on application implies: 1. Authorization to reserve space for use in the exhibit area at the annual Ohio GAPNA conference. This application is made with the understanding that the applicant agrees to abide by all the rules, requirements, and restrictions and OGAPNA, the hotel or the city may especially designate regulations set forth in this agreement. Failure to abide by such rules and regulations results in forfeiture of all monies paid or due to OGAPNA under terms of this agreement. 2. The exhibit space will be confined to a special area outside of the conference rooms where CE events are talking place. The fee in no way influences any aspect of this conference to include speaker content, CE credits, or promotions of exhibitor’s products. 3. Acknowledgement that you agree to hold OGAPNA , its officers, directors, employees, and agents harmless from any liability, damages, or costs (including reasonable attorney’s fees) that may arise as a result of omissions of officers, directors, employees, agents exhibiting at this CE conference. Signature/Payment of fees implies reading and acceptance of the Exhibitor Agreement: Signature:___________________________Title:_______ Date:_________