4th Annual Thomas Jefferson University - Seoul National University Endoscopic Skull Base Symposium. Don t miss this opportunity!
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1 Dear Representative, 1020 Locust Street, Suite M5 Philadelphia, PA T JEFF-CME ( ) T F jeffersoncme@jefferson.edu jefferson.edu/cme 4th Annual Thomas Jefferson University - Seoul National University Endoscopic Skull Base Symposium Don t miss this opportunity! On behalf of the Jefferson Course Co-Directors, James J. Evans, MD, FACS,, FACS, Christopher Farrell, MD and Gurston Nyquist, MD, I would like to formally invite your company to exhibit at the 4th Annual Thomas Jefferson University - Seoul National University Endoscopic Skull Base Symposium on Saturday, April 9, 2016 and Sunday, April 10, 2016 on the campus of Thomas Jefferson University. We are pleased to offer a variety of exhibit opportunities which will provide you with access to personally share your product information directly with approximately 50 healthcare professionals in neurological surgery and otolaryngology. Exhibitors will have several opportunities to converse with attendees including during breakfast, breaks, and lunch over two days. There will be four levels of exhibiting opportunities: Platinum Level, Gold Level, Silver Level, and Bronze Level: Platinum Level - $10,000 (limited to first 4 paid companies) o Choice of Premium Exhibit Booth location in Exhibit Area (first come, first serve basis) o 2 full page (8.5 x 11), color company advertisement in Exhibitor Directory (Due: Friday, March 25, 2016) Ad specifications: PDF format, letter size (8.5 by 11), no bleed, preferably with a border o Acknowledgement posted online via a Virtual Exhibit Hall and ed to all participants before and after the conference o Individual company acknowledgement signage o Special name badge designation o Up to 6 company representatives Gold Level - $7,000 o 1 full page, color company advertisement in Exhibitor Directory (Due: Friday, March 25, 2016) Ad specifications: PDF format, letter size (8.5 by 11), no bleed, preferably with a border o Prime exhibit location o Up to 4 company representatives
2 Silver Level - $5,000 o 1 half page, black and white company advertisement in Exhibitor Directory (Due: Friday, March 25, 2016) Ad specifications: PDF format, letter size (8.5 by 5.5), no bleed, preferably with a border. o Up to 3 company representatives o 2 complimentary conference attendees Bronze Level - $3,000 o Up to 2 company representatives Exhibit fees can be mailed to the Office of CME at Sidney Kimmel Medical College, Jefferson Alumni Hall, Office of CME, 1020 Locust Street, Suite M-5, Philadelphia, PA Our tax ID number: Please make checks payable to: Sidney Kimmel Medical College, Office of CME. Visa and MasterCard is also accepted. We are hopeful that you will join us as an exhibitor this year for this exceptional program and important networking event, most appropriately deserving of your participation and support. Please feel free to contact me with any questions you may have. I can be reached by phone at , by fax at , or via at Patricia.Shaughnessy@jefferson.edu Sincerely, Patti Shaughnessy Education Coordinator Office of Continuing Medical Education Sidney Kimmel Medical College at Thomas Jefferson University *Please note that Sidney Kimmel Medical College/Thomas Jefferson University is not listed as a covered recipient on the CMS/Sunshine Act list. Questions about Jefferson s status may be directed to Dr. Cole, Assistant Dean for CME.
3 Conference Location: Exhibitor Information 4th Annual Thomas Jefferson University - Seoul National University Endoscopic Skull Base Symposium April 9-10, 2016 Dorrance H. Hamilton Building 1001 Locust Street - Room 505 Philadelphia, PA Exhibit Location/ Times: Representatives may begin exhibiting at 6:45AM on Saturday, April 9, The exhibit hall will be open throughout the conference, however the following times are dedicated exhibit times where food and beverage will be served: Saturday, April 9, :00AM 7:45AM Registration, Continental Breakfast & Exhibits 9:30AM 10:00AM Break & Exhibits 12:00PM 1:00PM Lunch & Case Presentations with Attendees 2:35PM 3:00PM Break & Exhibits Sunday, April 10, :00AM - 7:45AM Registration, Continental Breakfast & Exhibits 10:00AM 10:30AM Break & Exhibits *Times are subject to change For more information, or to register, please click on the below link: Exhibitor Rules: All exhibits must be tabletop or portable in nature. Exhibitor is NOT furnishing commercial support for this conference, Exhibitor is buying exhibit space. Exhibitor activities are restricted to the allocated space at the conference. Distribution of educational/promotional materials by exhibitors is limited to their booth space in the exhibit area. It is not permitted anywhere else in the hall, in conference meeting space, or at the entrances to the conference meeting space. Exhibits are intended for informational purposes, products should not be sold on site. Photography by exhibitors that includes pictures of the overall conference and/or its attendees is prohibited. The purpose of the exhibit is to further the education of meeting attendees through product and service displays and demonstrations. Exhibitor personnel may observe, but must refrain from any participation or recording of any scientific sessions on that company s behalf. The conference is not responsible for the security of exhibitors materials. We suggest that exhibitors leave nothing of value (e.g., laptop computer, audio visual equipment, etc.) unattended at any time in the exhibit hall. Cancellation by the Conference Organizers In the event that the Conference would have to be cancelled, the organizers are not responsible for any airfare, hotel, and/or other costs incurred by exhibitors. Sunshine Act The Parties acknowledge and agree that Exhibiting Company may be subject to Section 6002 of the Affordable Care Act, which added Section 1128G to the Social Security Act, and its implementing regulations codified in 42 CFR 402 & 403 (collectively the Sunshine Act ).
4 Exhibiting companies are solely responsible for collecting any information about actions within their exhibit space that constitutes a payment or transfer of value to a Covered Recipient that is required to be reported under the Sunshine Act. Exhibit Set & Breakdown Times: Exhibit Levels & Recognition: Payment: Exhibit Set-up can begin Saturday, April 9, 2016 at 6:45AM. Subject to Change Exhibit breakdown must be completed by 2:00PM on Sunday, April 10th. Platinum Level $10,000 (limited to first 4 paid companies) o Choice of Premium Exhibit Booth location in Exhibit Area (first come, first serve basis) 2 full page (8.5 x 11), color company advertisement in Exhibitor Directory (Due: Friday, March 25, 2016) Ad specifications: PDF format, letter size (8.5 by 11), no bleed, preferably with a border o Acknowledgement posted online via a Virtual Exhibit Hall and ed to all participants before and after the conference o Individual company acknowledgement signage o Special name badge designation o Up to 6 company representatives o 4 complimentary conference attendees Gold Level $7,000 1 full page, color company advertisement in Exhibitor Directory (Due: Friday, March 25, 2016) Ad specifications: PDF format, letter size (8.5 by 11), no bleed, preferably with a border o Prime exhibit location o Up to 4 company representatives Silver Level $5,000 o 1 half page, black and white company advertisement in Exhibitor Directory (Due: Friday, March 25, 2016) Ad specifications: PDF format, letter size (8.5 by 5.5), no bleed, preferably with a border o Up to 3 company representatives Bronze Level $3,000 o Up to 2 company representatives Please make check payable to: Thomas Jefferson University, Office of CME Mail to: SKMC Office of CME Jefferson Alumni Hall 1020 Locust Street, Suite M-5 Philadelphia, PA *Visa and MasterCard are also accepted. Payment in full is required with registration. If paying with company check, Credit Card information will be required to hold space. (Credit Card will be charged on April 8 th if another payment method is not received
5 Electrical Needs/ Shipping Information Electrical services are included in the exhibit fee. Each company is responsible for communicating their electrical needs to Patti Shaughnessy no later than Tuesday, April 5, Shipments will be accepted at the Jefferson Alumni Hall Loading Dock 3 days prior to conference, no earlier than Tuesday, April 5, Be sure to label them accordingly. Name of Company and On-site Contact Attn: Patti Shaughnessy/OCME C/O Jefferson Alumni Hall 1020 Locust Street Suite M5 Philadelphia, PA TJU-SNU Symposium Box of Please note that all company representatives are solely responsible for coordinating return shipping at the conclusion of the conference. All packages should be packed, taped, and left at the registration desk. Please be sure to notify your carrier when your shipment is ready. Sidney Kimmel Medical College Office of CME does not accept any liability for equipment, goods, displays, or other materials which arrive unmarked or fail to arrive at the conference location. Each exhibiting company is responsible for insuring its property for loss or damage. Should your company require any other needs regarding your exhibit, contact Patti Shaughnessy at or patricia.shaughnessy@jefferson.edu Exhibit pictures are restricted to exhibit area only. Exhibitors may not conduct promotional activities within the educational session room.
6 4th Annual Thomas Jefferson University - Seoul National University Endoscopic Skull Base Symposium Saturday-Sunday, April 9-10, 2016 Dorrance H. Hamilton Building * 1001 Locust Street, Philadelphia, PA *DAY 1* - Saturday, April 9, 2016 Preliminary Agenda Subject to Change 7:00AM 7:45AM Registration, Continental Breakfast, & Exhibits 7:45AM 8:00AM Welcome and Opening Remarks James J. Evans, MD, FACS 8:00AM 8:20AM Sinonasal Anatomy & Approach to the Sella 8:25AM 8:45AM Transtuberculum and Transplanum Approaches Gurston G. Nyquist, MD 8:50AM 9:10AM Approach to the Cribriform Fossa & Frontal Sinus Tae Bin Won, MD 9:15AM 9:30AM Introduction to Dissection Lab Varun Kshettry, MD 9:30AM 10:00AM 10:00AM 12:00PM Break with Refreshments & Exhibits Dissection Lab - Endonasal endoscopic approaches to the sella, tuberculum sella, and planum sphenoidale James J. Evans, MD, FACS Christopher J. Farrell, MD Fred Gentili, MD Gurston G. Nyquist, MD Sun Ha Paek, MD Tae Bin Won, MD Gelareh Zadeh, MD, FACS 12:00PM 1:00PM Lunch & Case Presentations Moderator: Sun Ha Paek, MD 1:00PM 1:20PM Pituitary Surgery: Surgical Nuances James J. Evans, MD, FACS 1:25PM 1:45PM Endoscopic Resection of Meningiomas Fred Gentili, MD 1:50PM - 2:10PM Surgical Resection of Craniopharyngiomas Christopher J. Farrell, MD 2:15PM 2:35PM Advances in the Treatment of Skull Base Tumors Gelareh Zadeh, MD, FACS 2:35PM 3:00PM Break with Refreshments & Exhibits 3:00PM 5:00PM Dissection Lab - Endonasal endoscopic approaches to the cribriform fossa and frontal sinus James J. Evans, MD, FACS Christopher J. Farrell, MD Fred Gentili, MD Gurston G. Nyquist, MD Sun Ha Paek, MD Tae Bin Won, MD Gelareh Zadeh, MD, FACS
7 *DAY 2* - Sunday, April 10, 2016 Preliminary Agenda Subject to Change 7:00AM 7:45AM Registration, Continental Breakfast, & Exhibits 7:45AM 8:00AM Welcome and Opening Remarks James J. Evans, MD, FACS 8:00AM 8:20AM Surgical Approaches to the PPF and Infratemporal Tae Bin Won, MD Fossa 8:25AM 8:45AM Surgical Approaches to the Cavernous Sinus Varun Kshettry, MD 8:50AM 9:10AM Endoscopic Approaches to the Clivus & Craniocervical James J. Evans, MD, FACS Junction 9:15AM 9:35AM Trans-Orbital Approaches Jurij R. Bilyk, MD 9:40AM 10:00AM Surgical Resection of Chordomas Fred Gentili, MD 10:00AM 10:30AM Break with Refreshments & Exhibits 10:30AM 11:30AM Case Presentations & Panel Discussion 11:30AM 2:30PM Dissection Lab - Endonasal endoscopic approaches to the clivus, cavernous sinus, infratemporal fossa, and pterygopalatine fossa James J. Evans, MD, FACS Christopher J. Farrell, MD Fred Gentili, MD Gurston G. Nyquist, MD Sun Ha Paek, MD Tae Bin Won, MD Gelareh Zadeh, MD, FACS 2:30PM Course Adjourns
8 EXHIBITOR CREDIT CARD PAYMENT FORM 4th Annual Thomas Jefferson University - Seoul National University Endoscopic Skull Base Symposium Saturday-Sunday, April 9-10, 2016 Payment is due on or before April 8, 2016 Platinum Level $10,000 Gold Level $7,000 Silver Level $5,000 Bronze Level $3,000 Company Name: Company Representative (to contact with questions): Phone Number: Address: I hereby authorized use of my: American Express is NOT accepted Visa Mastercard Amount $ Account Number: Expiration Date: Cardholder s Name: Signature: Credit Card Billing Address: (include City, State and Zip) Address: A copy of the receipt will be sent upon processing Fax You may fax your application with Credit Card payment to Send completed form to Patricia.shaughnessy@jefferson.edu ONLINE EXHIBITOR REGISTRATION MUST ALSO BE COMPLETED TO COMPLETE VISIT
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