Alabama Council of Community Mental Health Boards
P. O. Box 820, Pelham, AL 35124
Telephone: (205) 616-1788
Email:
Website:
James L. Dill, Ed.D.
Executive Director
Dear Exhibitor:
The Alabama Council of Community Mental Health Boards invites your company/organization to participate in the 2017 Spring Ethics & Administrative Training and Tradeshow through our Exhibit Format and Corporate Sponsorship. The 2017 Meeting will be held on Wednesday, May 3, 2017, at the Hyatt Regency ~ The Wynfrey Hotel, Birmingham, Alabama.
The 2017 attendees will be decision-makers of the community mental health agencies and other professionals in the State of Alabama. We expect approximately 250 attendees including Executive Directors, CEO’s, Clinical Directors and other Mental Health Professionals. This Conference will feature ethics training for clinicians and administrative training for executive directors, administrative managers, and support staff. The hours of this Training Conference: Ethics Training & Administrative Training is Wednesday, May 3, 2017 from 8:30 am – 4:00 pm ~ 6-hours CE credit available are available for the Ethics Training. The Council will not award CE credits for the Administrative Track.
In the Exhibitor Registration Fee at this year’s Conference, you will be provided with an exhibit package consisting of: (1)– skirted table, 2 chairs, 1 ID sign, signage at the conference, and inclusion in the Conference Program as a sponsor of the Training. Please email a signed Exhibitor Form today. You may forward your payment later. Please note that your booth will be secured once we receive the exhibitor registration form & fee. Please return no later than April 1st.
Also, if you wish to receive CE credit you may attend the Ethics Training on Wednesday. The Administration Training will offer no CE credits. You may register for either or neither. Each of these trainings have separate fees and registrations. Space is limited. See Conference Registrations below. This is separate from the Exhibitor Registration Fee.
HOTEL TIME SENSITIVE: We have a special hotel room block with a conference rate of $119.00. To secure this rate please make your reservations ASAP or no later than April 1st. See Hotel Registration Below.
We believe the 2017 Spring Meeting at the Hyatt Regency ~ The Wynfrey Hotel, Birmingham, AL will be a success through the participation of organizations such as yours. I hope to hear from you soon.
If you have any questions, please contact me at (205) 601-9275 or email me at . Please remember exhibit space is limited and we will be making exhibit booth assignments on a first come, first serve basis. Please call or send your information in today to reserve your space! Thank you again.
Sincerely,
Jim Dill
Executive Director
Alabama Council Behavioral Healthcare
Exhibitor Application & Invitation ~ SPRING Conference
Of the Alabama Council of Community Mental Health Boards
May 3, 2017 ~ Birmingham, Alabama
We, the undersigned reserve exhibit space, as requested below, for the Alabama Council of Community Mental Health Boards Spring Meeting to be held at the Hyatt Regency ~The Wynfrey Hotel, Birmingham, AL
Section 1. Company Information:
Designate below the name and address of the person in your organization who is to receive all relevant exhibition materials:
Company Name______
Contact Name & Title ______
Phone Number: ______
Email Address ______
*Due to space limitations (only TWO) people per space, please.
Representative(s) attending the Conference: (1)______2)______
NAMES for NAMEBADGES
Mailing Address: ______
City ______State ______Zip ______
Signature: ______Date: ______
I understand, and agree to abide by the official regulations listed in this correspondence.
Section 2. Exhibit/Sponsor, etc. Information
Type of Booth(s) Requested:
*Indicate if there is a company you prefer NOT to be next to: ______
[] $800.00 before April 1, 2017
[] $850.00 after April 1, 2017
IN ADDITION:
[] I need Electricity for exhibit space. Pricing Information to follow.
[] ADD $100.00 each Ethics or Administrative Training Track-- includes training, Lunch, CE Credits (Ethics Only)
[] In addition to exhibiting, I am interested in a Corporate Sponsorship Level.
Details are available upon request.
[] Final Program Advertising Opportunities (space is limited)
$650.00 for a full page, black/white AD. The AD must be a jpeg file emailed to the Council email.
Section 3. Fees and Payment.
[ ] Exhibitor Space Total ______
LUNCH:
[ ] $40.00 X _____ =$______each Lunch, Wednesday, May 3, 2017
[ ] Advertising Total ______
[ ] Registration(s) fee $100.00 each for training (does not include exhibiting) # ______
[ ] Payment of $______will be sent by this date ______.
No Space will be assigned or reserved until payment is received.
Check should be made payable to: Alabama Council of Community Mental Health Boards, P.O. Box 820, Pelham, AL 35124.
Please contact Diane Dill or e-mail diane.dill1@gmail if you have any questions or comments.
~Up to 6 CE Credits for Ethics Training Only ~
May 3, 2017 ~ Ethics Training Only
Individual Registration Form
(does not include exhibit)
Registration Form ~ SPACE IS LIMITED
*Please print and mail top portion of this form with your check.
1. Registration Fee: (Before April 1, 2017) (After April 1, 2017)
$100.00 $120.00
2. How to Register:Submit One Form Per Registrant (Copy Form as Needed.)
Please Type.
Name: Facility/Organization:
Address:
City/State/Zip:
Phone: Email:
ADA/Section 504. If you have special needs please contact Diane Dill @ 205-616-1788 by April 1th, 2017.
3. Help! Please help us plan by checking the following events you plan to attend:
[] Luncheon, Wednesday, May 3th
*SPECIAL DIETARY NEEDS: Gluten free [] Vegetarian []
4. Please check one: [ ] I need Continuing Education Credit
[ ] I need an Attendance Certificate
5. Method of Payment: [ ] Check (make payable to the Alabama Council)
*No Credit Card payment is available.
Mail registration form and payment to:
Alabama Council of Community Mental Health Boards
P.O. Box 820, Pelham, AL 35124 Telephone (205) 616-1788
***Cancellation Policy: Registrations may be cancelled with full refund until April 1st.
------
HOTEL Reservation Information:
HOTEL RESERVATIONS Information: (Time Sensitive)
*To insure the special rate make your reservations today!
To make reservations online:
1. Go to:
2. Enter your desired dates
3. Click on “ Special Rates”
4. Enter code: 40061 into the “Corporate or Group Code” box
5. Click ‘Check Availability’
6. Complete your reservation
Special Conference Hotel Rate is $119.00 until April 1st.
*Last day to book at this rate is: 4/1/17
We have a limited block of hotel rooms at the rate of $119.00 per night. Please make your hotel reservation before April 1st.
Alabama Council of Community Mental Health Boards
Spring Conference
Administrative Training Registration
Wednesday, May 3, 2017
Space Is Limited
Hyatt Regency, The Wynfrey Hotel,
1000 Riverchase Galleria, Birmingham, AL 35244
Registration Form
*Please print and mail this form with your check.
Lunch is included.
1. Registration Fees: (See Fees below ~ Early Bird Rate Before April 1, 2017)
2. How to Register:Submit One Form Per Registrant (Copy Form as Needed.)
Please Type.
Name: Organization:
Address:
City/State/Zip:
Phone: Email:
ADA/Section 504. If you have special needs please contact 205-616-1788 Dill @ 205-616-1788 by April 1, 2017.
3. Method of Payment: [ ] Check (make payable to the Alabama Council)
[] Administrative Training = $100.00 before April 1st, 2017 ~ $120.00 after, April 1st.
*No Credit Card payment is available.
Mail registration form and payment to:
Alabama Council of Community Mental Health Boards
P.O. Box 820, Pelham, AL 35124
Telephone (205) 616-1788; (800) 557-1950; FAX: (866)990-1960
***Cancellation Policy: Registrations may be cancelled with full refund until April 1st.
HOTEL RESERVATIONS Information: (Time Sensitive)
*To insure the special rate make your reservations today!
To make reservations online:
1. Go to:
2. Enter your desired dates
3. Click on “ Special Rates”
4. Enter code: 40061 into the “Corporate or Group Code” box
5. Click ‘Check Availability’
6. Complete your reservation
Special Conference Hotel Rate is $119.00 until April 1st. *Last day to book at this rate is: 4/1/17