TENNESSEE SOCIETY OF GASTROENTEROLOGY NURSES AND
ASSOCIATES
VENDOR APPLICATION AND CONTRACT
To participate in the TSGNA 34th Annual Course, October 16-18, 2015 in Tunica,
Mississippi please complete this application and return it with your check made payable
to TSGNA by July 31, 2015, to:
Sylvia Hawkins
8000 Wolf River Boulevard Suite 200
Germantown, TN 38138
Company Name__________________________________________________________
Contact Person___________________________________________________________
Company Address________________________________________________________
_______________________________________________________________________
Phone Number___________________ Fax Number______________________________
E-Mail Address___________________________________________________________
We would like to participate in the following manner:
Exhibiting:
The exhibit areas will accommodate vendor display areas each consisting of a six
foot skirted table.
We need _____ vendor display area(s) @ $850.00 per area = $__________.
Electrical access is needed: Yes_____ No____. There is no additional charge.
Lunch will be provided. How many are needed for your company? _______
Please prepare name badges for the following people: ______________________
__________________________________________________________________
If at all possible, please avoid exhibit space assignment adjacent to the following
companies: ________________________________________________________
__________________________________________________________________
Financial Sponsorship-Also requires the attached Commercial Support Agreement:
We would like to participate with a donation at the following level:
____Platinum – Greater than $1500
____Gold - $1001 to $1500
____Silver - $501 to $1000
____Bronze - $250 to $500
____Other $____________
Donations may be divided into more than one of the following categories. Please
indicate below how you wish to have your donation designated.
We would like to designate our funds for the following activity/expense:
$__________Speaker Honorariums and expenses (travel, accommodations, etc.)
Speaker’s Name _____________________________________________
Topic______________________________________________________
$__________Course related items (bags, nametags, syllabus printing, and other
meeting supplies)
$__________ Food Functions (Friday Evening Reception, Meals, Breaks)
$__________ Undesignated – use in any way needed
“In Kind” Sponsorship-Also requires the attached Commercial Support Agreement:
We would like to donate the following items for door prizes (gift cards, small gift
items, electronics, wine, etc.)__________________________________________
__________________________________________________________________
We would like to donate the following items for the registration packets (75-100
packets-pens, note pads, tissues, hand sanitizer, chapstick, product samples,
etc.):_____________________________________________________________
__________________________________________________________________