11th Annual Spring

Mental Health & Aging Conference

Friday, April 6, 2018

Viscount Suite Hotel

4855 East Broadway Boulevard, Tucson

Dear Supporter of Continuing Geriatric Education:

The Arizona Geriatrics Society annual continuing education conferences offer the opportunity to reach geriatric healthcare professionals from across Arizona – physicians (MD/DO/NDs, geriatricians, family practitioners, internists, hospitalists, ANPs, etc.), Medical Directors, NPs, PAs, nurses, social workers, pharmacists, case managers, therapists, long-term care and assisted living facility administrators and chaplains – all of whom are providing geriatric healthcare for older adults in Arizona. Our members span the fields of geriatrics and gerontology; inpatient and outpatient; home and community-based; social services; residential, skilled nursing, and assisted living facilities; financial services; elder law; governmental agencies; and universities.

Exhibitors of our annual continuing education conferences gain access to the largest interprofessional gathering of healthcare geriatric and gerontology professionals in Arizona. Each year healthcare professionals gather to network, learn, share their expertise, and support each other at AzGS conferences. Being an exhibitor offers unique opportunities for your organization to network, market and advertise, and boost your visibility. Your support makes AzGS conferences possible.

Our Vision

The Arizona Geriatrics Society (AzGS) is the preeminent source of education for

interprofessional geriatric health providers in Arizona.

Our Mission

Is to advance the best healthcare practices for older Arizonans by supporting the education of interprofessional geriatric health providers.

Exhibit registration includes food, beverages, and admission to the conference for two representatives plus the exhibit space

(6’ table with two chairs). There is an additional charge of $100 per person for more than two representatives. Exhibitors set up at 7:00AM and remain through afternoon break. Please complete the registration form below and return by March 17, 2018 to receive the early registration rate. For additional information contact Iris Sumpter at or (602) 743-1969.

EARLY REGISTRATION (Reserve by March 17) LATE REGISTRATION (after March 17)

AzGS MEMBER RATE AzGS MEMBER RATE

$600 For-Profit (per day) $650 For-Profit (per day)

$400 Non-Profit (per day) $425 Non-Profit (per day)

NON-MEMBER RATE NON-MEMBER RATE

$700 For-Profit (per day) $750 For-Profit (per day)

$500 Non-Profit (per day) $525 Non-Profit (per day)

Contact First Name / Last Name / Credentials
Company Name
Company Mailing Address
City / State / Zip
Company Email Address / Company Phone

Representative(s) Who Will Staff Your Exhibit Table

Rep1 Name / Rep 1 Email / Rep 1 Phone
Rep 2 Name / Rep 2 Email / Rep 2 Phone
Rep 3 Name (ADDITIONAL CHARGE $100) / Rep 3 Email / Rep 3 Phone

Payment Information

AzGS is a 501(c) (3) non-profit organization, tax ID #86-0598186. Make checks payable to Arizona Geriatrics Society and mail with this form to: 1934 East Camelback Road, No. 120-419, Phoenix, AZ 85016 or email

Enclosed is my check (payable to Arizona Geriatrics Society). Please charge my credit card: AmEx MasterCard Visa

$
Credit Card Number / Total Amount to Charge
Name on Credit Card / Expiration Date
Exhibit registration includes food, beverages, and admission to the conference for two representatives plus the exhibit space (6’ table with two chairs). There is an additional charge of $100 per person for more than two representatives. Exhibitors set up at 7:00AM and remain through afternoon break. For additional information contact Iris Sumpter at or (602) 743-1969.