Indiana Association of Pathologists

65thAnnual Spring Slide Seminar

SPONSORSHIP PROSPECTUS

Saturday, April 29, 2017

Renaissance Indianapolis North Hotel

11925 North Meridian Street

Carmel, Indiana

8:00 am-4:30 pm

Meeting Director

Shaoxiong Chen, M.D., Ph.D., CME Director

Location and Lodging

The meeting will be held at the Renaissance Indianapolis North Hotel, 11925 North Meridian Street, Carmel, IN. (317) 814-2510.

Time of Registration

Saturday, April 29, 2017

Vendor registration and set-up: 6:30 am - 7:15am

Attendee registration/ breakfast time is 7:15-8:00 a.m.

No other time is available for set-up.

Speakers and Topics

Urologic Pathology

John N. Eble, M.D., MBA, FRCPA

Nordschow Professor of Laboratory Medicine,

Chairman, Department of Pathology and Laboratory Medicine,

Indiana University School of Medicine

David J. Grignon, M.D., FRCP(C),

Centennial Professor

Vice Chairman of Clinical Programs, Department of Pathology and Laboratory Medicine,

Indiana University School of Medicine

Educational Grants
The Indiana Association of Pathology appreciates all financial support of our educational programs. In accordance with ACCME standards, all CME programs will be operated independently and without influence or control from other supporting organizations. Supporting organizations shall not influence or control the program planning, program content, or execution of the activity; the program must be free of commercial bias for or against any product; and any product discussion must be objective, balanced and scientifically rigorous. Corporate sponsors may not engage in promotional activities in the CME education room or in the CME materials, and no promotional materials may be disseminated during the CMEactivities in the CME education room.
Sponsor/Exhibitor Booths

A tentative floor plan will be provided at a later date. Exhibit costs are $550. This fee includes a table, 2 chairs and refreshments and lunch for 2 representatives. Register with the accompanying form. Mail or email scanned copy to . Online payment available on meeting registration website.

Additional representatives may attend. Online registration includes a guest registrationoption. The cost for additional representatives will be $100 per person.Arrangements for additional equipment, extension cords, etc. must be made prior to the meeting and will be billed to the vendor.

Exhibitor Listing

All exhibitors will be listedonthe IAP website ( in the section for “additional meeting information.” Exhibit space preference will be assigned by date of application and when payment is received in the Association office.

Payment for Space

The enclosed contract must be completed and returned to the IAP Association Office. All space contracted for must be paid in full by April1, 2017. There will be no refunds for canceled booths after April 10, 2017.

Exhibit Hours

Representatives will want to be available during registration, breaks and the luncheon.

Lunch

The annual luncheon will be held in the exhibit area. Representatives will want to be present during this time.

All exhibitors should plan to dismantle their exhibits on Saturday, April 29following the last break (around 2:45). This dismantling time will be strictly enforced. Call the hotel to make arrangements for pre-shipment of materials at (317) 814-2510.

Physical Assistance

Those attendees who need additional assistance should contact the Norma Erickson at 317-965-0670or o that appropriate arrangements can be made.

Further Information

For further information, please call Norma Erickson at 317-965-0670.

APPLICATION - CONTRACT FOR EXHIBIT SPACE - 2017

INDIANAASSOCIATION OF PATHOLOGY

The undersigned hereby applies for exhibit space at the IAPSpring Slide Seminar subject to acceptance by the Association.

Booths are assigned based on the order in which the request/payment is received. Every attempt is made to arrange booths so similar companies are not adjacent to one another. You will be notified of your booth assignment at a later date.

We understand that all booths must be paid in full by April1, 2017and that no refunds will be permitted after April10, 2017. Each fee includes one (1) 5' table, two (2) chairs and the costs for two (2) representatives. Any additional needs must be arranged for separately prior to the meeting.

The undersigned agrees to the following provisions:

It is agreed that failure on the part of the exhibitor to meet booth payments in full shall automatically forfeit all rights, privileges, and claims of any nature the exhibitor has or may have, including the forfeit of any payments previously made.

We agree to follow conditions and directives of the Accreditation Council for Continuing Medical Education (ACCME) regarding guidelines for commercial support of CME activities.

(Please Print or Type Clearly)

Firm:

(as it will appear in the program)

Street Address:

City, State, Zip:

Contact Person:

Telephone Number: ( ) ______Fax Number: ( ) ______

Email: ______

Representatives to be attending:

Electrical Requirements (Outlets, cords):

Signature:

Name: Title: ______

(Type or Print)

Please include a brief description of the products/services offered by your company.

Please return with a check for $500 made payable to the Indiana Association of Pathologists,

3045 W. Vermont St., Indianapolis, IN 46222. Contact Norma Erickson 317-965-0670.

Rules and Regulations

Special Information

  1. In accordance with ACCME standards, the IAP will conduct all CME programs independently and without influence or control from other supporting organizations. Supporting organizations shall not influence or control the program planning, program content, or execution of the activity; the program must be free of commercial bias for or against any product; and any product discussion must be objective, balanced and scientifically rigorous. Corporate sponsors may not engage in promotional activities in the CME program location or in the CME materials, and no promotional materials may be disseminated during the CME activities in the CME meeting room.
  1. Representatives of commercial supporters may attend an educational activity, but they may not engage in sales activities while in the room where the educational activity takes place. Please remember if you attend the physician education seminar, you MUST remove your nametag while in the room.
  1. As a vendor, you are not allowed to ask questions or make comments regarding the presentations while in the meeting room. There can be NO selling or promotion by vendors in the meeting room.
  1. In accordance with the AMA's guidelines onGifts to Physicians from Industryand the ACCMEStandards for Commercial Supportfunding from industry to underwrite the costs of CME conferences or professional meetings should be made to the IAP and not to individual physicians. Subsidies from industry should not be accepted to pay for the costs of travel, lodging, or other personal expenses of the physicians who are attending CME conferences or meetings. Subsidies for hospitality should not be accepted outside of modest meals or social events that are held as part of a continuing medical education conference or meeting.
  1. Organizations that provide financial support may be recognized. Such corporate or foundation recognition regularly occurs in publications and other appropriate forums. Recognition does not include any reference to the organizational products. The institutional acknowledgment may not include corporate logos and slogans.

The undersigned agrees to abide by the official show Rules and Regulations of the IAP Spring Slide Seminar.

Name: Title:

Signature: Date: