Exhibitor/Sponsor Registration (doc format)

Clinical Laboratory Collaborative Conference
“Strength through Collaboration”
January 19, 2015
Mark your calendars! The 2015 Clinical Laboratory Collaborative Conference will be held in Aurora,
Colorado on April 9-10, 2015. This meeting is a collaboration among four laboratory organizations:
ASCLS-Colorado, ASCLS-Wyoming, CACMLE (Colorado Association for Continuing Medical Laboratory
Education) and the Colorado Centennial Chapter of CLMA. This is our twelfth great year in the
collaboration. Previous years have attracted over 250 registered participants and 40 exhibitors.
We cordially invite you to reserve an exhibition booth to represent your company at this impressive meeting
for laboratory managers, technologists, students, educators and all those involved in Clinical Laboratory
The Conference and Exhibits will take place at the newly renovated Radisson Hotel, Denver Southeast,
3155 S. Vaughn Way, Aurora, CO 80014, Phone: (800) 967-9033. We have an excellent room rate of
$89.00 per night. (Be sure to state that you are part of the CLCC so we get room-block credit – use Group
code 1504CACMLE (best) or CLCC).
Booth set up will be available beginning Wednesday, April 8th around 6pm, and Thursday, April 9th at
7:00am. Booth space rental will include a 9’ x 5’ space with one six foot or eight-foot table (cover & skirt)
and two chairs. Exhibitors are invited to attend all sessions depending on space, and will be provided two
meal tickets per day per booth.
Exhibit Times are set for 11:00 am to 1:30 pm on Thursday, April 9th, and Friday, April 10th. This year, in
order to bring attendees to the booths and give CEUs we are asking vendors to supply one question and
answer relating to your exhibit.
To reserve a booth for this event, please complete the enclosed application and return it to us with your
payment. Make check payable to CLCC. DO NOT make checks out to Boulder Community Hospital.
Please mail to:
CLCC c/o Chuck Novak
Boulder Community Health, Foothills Laboratory
PO Box 9019
Boulder, CO 80301-9019
Upon receipt of your check, a booth will be reserved and you will be e-mailed a confirmation letter that will
include shipping instructions and other pertinent information. The deadline for booth applications is
March 31, 2015. After that date, booth rental will be on a space available basis and a late fee will be
If needed, the Tax ID for the Colorado Assoc. for Continuing Medical Laboratory Education, Inc. is
84-0633426. For more information, please contact the Exhibitor Liaison for this event:
Chuck Novak
[email protected]
Thank you for your consideration. We look forward to hearing from you.
Clinical Laboratory Collaborative Conference 2015
Exhibitor Application Form
Company Name: ________________________________________________________________________
In an effort to reach the correct contacts (whether it may be you or someone else in your company), please
provide the contact information of the decision-maker in charge of attendance for this conference.
Fax: ____________________________ Email: ________________________________________________
Names of representatives to be present at the booth (maximum of 4/booth at any one time):
1._______________________________________ 2.__________________________________________
3._______________________________________ 4.__________________________________________
Please reserve ____ 1 booth
(check one)
If paid by 3/31/2015 +Electricity
If paid after 3/31/2015 + Electricity
____ 2 booths
____ 3 booths
The cost of a van will be $475.00 per van. One van will be counted as one booth.
Non-profit organization pricing is ½ of the pricing above. A 501(c)(3) and tax ID number must be presented
with registration form.
Number of AMPS required _________________
Do you require a 110V line? Yes or No How many? ____ (There will be a $30 per table charge for
Do you require a 220V line? Yes or No
(There may be an additional charge.)
Please place my booth(s) next to these companies: ______________________________________________
Please do not place my booth(s) next to these companies: ________________________________________
Special needs: ___________________________________________________________________________
I wish to participate with Vendor Question: Yes____________
No ________________
1 CEU will be offered to attendees who participate in the Vendor Quiz.
Clinical Laboratory Collaborative Conference
Sponsorship Form
In addition to (or instead of) reserving an exhibit booth, you may want to consider one of the following ways
of supporting the CLCC.
Please support us and Be a Sponsor
Yes or No
Coffee Break
preference of day? __________________________
Yes or No
preference of day? __________________________
Other (please describe)_______________________________________________________
Provide Door Prizes/Items for Goodie Bags
Yes or No
I would like to provide a door prize(s) to be awarded during exhibit hours. I will be
providing _______ items for this purpose. Names will be drawn and winners will collect
prize at exhibitor’s booth.
Yes or No
I would like to provide items to be included in the participant bags. (We are planning on
250 participants.)
Booth registration includes two lunch tickets per day per booth. Additional lunch tickets can
be purchased for $25 each.