WSHHRA 2016 SPRING CONFERENCE BUSINESS PARTNER

REGISTRATION FORM

Date: April 27-29, 2016 (Business Partner Day – April 28, 2016)

Location: Campbell’s Resort

104 W. Woodin Avenue

Chelan, WA 98816

(800) 553-8225

Time: Breakfast through the afternoon snack break

Fee: $300* – includes meals for one Business Partner representative; additional Business Partner representatives can attend for an additional $100 (which covers meals on Thursday)

The following information will be provided to our attendees in their conference materials:

Company:

Name:

Phone:

Website:

Email:

Passport Question:

(Provides talking point as participants visit your booth)

You will be provided with a 6 foot table. Please note if you need anything additional:

¨ Internet ¨ Chairs ¨ Power ¨ Do not Need a Table

*You are welcome to join us during the meal and snack periods throughout the day.

*Additional persons can be covered for an additional $100 fee (includes Thursday’s breakfast, lunch, dinner and snacks).

*Additional guests only for dinner are $40.00. To enable an accurate headcount at dinner please confirm whether or not you will you be attending on Thursday evening as well as other individuals and/or guest(s).

I will attend the Thursday Dinner: ¨ Yes ¨ No

Additional Person(s) attending all day event ($100ea): ¨ Yes ¨ No

Name(s):

Dinner: ¨ Yes ¨ No

Additional Guest(s) attending Dinner ($40): ¨ Yes ¨ No

Name(s):

All Business Partner registrations shall be paid by the start of the conference please. If you would like to participate as a Business Partner please see our website www.wshhra.org or mail this completed form and a check (payable to WSHHRA) to Chandra Rodriguez, WSHHRA, c/o Human Resources, Samaritan Healthcare, 801 E. Wheeler Rd., Moses Lake, WA 98837. Contact Chandra at or (509) 793-9614 with any questions.

Thank you for your support of WSHHRA

We look forward to seeing you at our Spring Conference!

Our conferences would not happen without the gracious and generous sponsorship support of our Business Partners. If you are interested in supporting WSHHRA as a Sponsor, please see page 2 of this registration for opportunities.

WSHHRA 2016 SPRING CONFERENCE

BUSINESS PARTNER SPONSORSHIPS

Educational opportunities, Business Partner relationships and Networking are key functions of WSHHRA conferences. Business Partners have an impact by providing support and sponsorships. We are always appreciative of our Business Partners and have the following opportunities for Business Partner sponsorships. The amounts listed below are in addition to the Business Partner registration.

Diamond: / Level of Sponsorship is $1000.00
·  Recognition at our conference dinner
·  One free ad in our WSHHRA conference handout (4.5 inch by 3 inch) (please provide)
·  Link to company website on sponsorship/conference page of our website (please provide with registration)
·  Program/certificate recognition during Business Partner presentations
·  Name recognition in printed or online event materials
Gold: / Level of Sponsorship is $600.00
·  One free ad in our WSHHRA conference handout (3 inch by 3 inch) (please provide)
·  Link to company website on sponsorship/conference page of our website (please provide with registration)
·  Program/certificate recognition during Business Partner presentations
·  Name recognition in printed or online event materials
Silver: / Level of Sponsorship is $250.00
·  Listing of company website on sponsorship/conference page of our website (please provide with registration)
·  Program/certificate recognition during Business Partner presentations
·  Name recognition in printed or online event materials
Bronze: / Cost: Specific item furnished to Conference Attendees, ie, lanyards, conference bags
·  Name recognition in printed or online event materials

Company:

Name:

Phone:

Website:

Email:

Level of Sponsorship: ______

All sponsorships shall be paid by the start of the conference please. Please send jpeg image of logo for sponsorship levels that include printed material in the conference handout.

If you would like to participate as a sponsor please see our website www.wshhra.org or mail this completed form and a check (payable to WSHHRA) to Chandra Rodriguez, WSHHRA, c/o Human Resources, Samaritan Healthcare, 801 E. Wheeler Rd., Moses Lake, WA 98837. Contact Chandra at or (509) 793-9614 with any questions.

Thank you for your support of WSHHRA!