2019 SPONSORSHIP & EXHIBITOR OPPORTUNITIES. NEW JERSEY PRIMARY CARE ASSOCIATION Our Community, Your Health, Our Commitment.

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1 NEW JERSEY PRIMARY CARE ASSOCIATION Our Community, Your Health, Our Commitment SPONSORSHIP & EXHIBITOR OPPORTUNITIES 2019 NJPCA Sponsorship & Exhibitor Opportunities 1 P a g e

2 Dear Community Health Center Partner: Respect, Resilience, and Excellence are the themes for 2019, as the New Jersey Primary Care Association celebrates 30 years of our Community Health Centers providing high quality and cost-effective primary healthcare to over half a million New Jerseyeans. Some of our Centers are older than our association but in 1989, we joined together to learn from each other and share best practices. Since then, our 24 Health Centers have grown to employ more than 3,000 employees that work with an unwavering commitment to provide the best possible care in 138 communities. Sites are located in every county and each provide exceptional and respectful physical, dental and behavioral healthcare for our uninsured and underinsured neighbors. Our growth is in response to a need and our care is what makes us as federally qualified health centers special. But we don t do it alone. We know our success is also a result of strong partnerships with organizations who are dedicated to helping us provide the best possible care--we want to celebrate with you too. During our 30th anniversary year, please engage with our members and showcase your brand by showing your support through sponsorship at our annual conference, trainings, and events. Sincerely, The New Jersey Primary Care Association 2019 NJPCA Sponsorship & Exhibitor Opportunities 2 P a g e

3 NJPCA thanks you for joining us to provide affordable high quality care for all. Table of Contents Page Number About NJPCA Sponsorship & Exhibitor Opportunities at a Glance 5 Why Sponsor & Exhibit? 6 Individual Event Sponsorship 7 MCO Update University 8 Clinical Quality Forum 9 Annual Women s Health Assembly 10 Financial Roundtable Summit NJPCA Annual Conference th Anniversary Bundle 13 Sponsorship Benefits Table 14 Bundle Opportunities Additional Annual Conference Event Hosting Opportunities National Health Center Week Sponsor Registration Form Exhibitor Registration Form NJPCA Sponsorship & Exhibitor Opportunities 3 P a g e

4 ABOUT NJPCA CELEBRATE 30 YEARS OF QUALITY EXCELLENCE WITH US In 2019, the NJPCA and the 24 FQHCs are celebrating the healthcare we provide at the 138 sites throughout the state of New Jersey, including school-based and mobile sites. Community Health Centers are the largest providers of primary care in the state, providing healthcare services to over 528,000 New Jerseyeans annually. The New Jersey Primary Care Association ( NJPCA ) represents the 24 Community Health Centers and 138 satellite community-based ambulatory healthcare facilities throughout the state of New Jersey. Community Health Centers are also known as FQHCs or federally qualified health centers. FQHCs are authorized under Section 330(A) of the Public Health Services Act to provide healthcare to the underserved and the uninsured. OUR MISSION The NJPCA s primary goal is to provide for the expansion and provision of quality, costeffective and efficient primary healthcare through community health centers while seeking new and expanded revenue sources for these services. WE ARE COMMITTED TO QUALITY HEALTHCARE The New Jersey Primary Care Association (NJPCA) is committed to fostering collaboration among the Health Centers to ensure access to comprehensive healthcare services. The NJPCA will achieve this through: Effectively advocating regulatory agencies, payors, consumers and professional groups Comprehensive education and training of Health Center employees Providing consultation, advice, and guidance to Health Centers leadership 2019 NJPCA Sponsorship & Exhibitor Opportunities 4 P a g e

5 2019 Sponsorship and Exhibitor Opportunities at a Glance Individual event sponsorships and bundled sponsorships are available. MCO Update University Date TBD Clinical Quality Forum April 18, 2019 Annual Women s Health Assembly May 17, 2019 Financial Roundtable Summit Date TBD 30 th Anniversary Celebration Annual Conference October 2-3, NJPCA Sponsorship & Exhibitor Opportunities 5 P a g e

6 WHY SPONSOR & EXHIBIT? You can maximize your return on investment by increasing visibility and building relationships through NJPCA s various sponsorship and exhibitor opportunities! NETWORKING You will have the opportunity to promote your business while interacting with hundreds of healthcare professionals and meeting New Jersey leaders. REGISTRATION WITH VIP SEATING You will receive free NJPCA Annual Conference registration with reserved seating. ACKNOWLEDGMENT IN PROGRAMS Your company name and logo will be printed in each program/agenda and distributed to all attendees with your level of sponsorship. PROMOTIONAL ANNOUNCEMENTS Your company name and logo will appear on the event brochures, flyers, and s sent out to all registrants. SIGNAGE Your company name and logo will be displayed at your selected event on a large banner NJPCA Sponsorship & Exhibitor Opportunities 6 P a g e

7 INDIVIDUAL EVENT SPONSORSHIP 2019 NJPCA Sponsorship & Exhibitor Opportunities 7 P a g e

8 EVENT SPONSOR - $3,000 MCO UPDATE UNIVERSITY DATE TBD The MCO Update University is an opportunity for Health Center members to attend individual sessions with their NJ Managed Care Organizations (MCO). Each MCO covers issues around credentialing, coding, claim submissions, and much more. Interactive sessions conclude with a 30 minute Ask the Expert portion, allowing participants to get their specific questions answered by MCO subject experts. Attendees include FQHC CEOs, Chief Financial Officers, Chief Operating Officers, providers, and billers. Two complimentary MCO Update University registrations Company logo included in promotional s Recognition in program Ad distributed to all attendees Sponsorship acknowledgment in NJPCA Team News Update to members Acknowledgment on NJPCA event webpage Social media recognition on NJPCA Facebook and Twitter Exhibitor table with the opportunity to provide giveaways to attendees 2019 NJPCA Sponsorship & Exhibitor Opportunities 8 P a g e

9 EVENT SPONSOR - $5,000 CLINICAL QUALITY FORUM April 18, 2019 Each year in April, NJPCA diligently works to put together an informative and inspiring day-long training around quality improvement. This annual event has been specifically designed to share best practices and innovative projects that directly support quality improvement and compliance at NJ s FQHCs. This event will feature educational sessions on how to increase colorectal cancer screening rates, how to incorporate diabetes care management strategies, and how to provide opioid substance abuse treatment integrated within primary care. Quality Forum attendees include Community Health Center Executives, Chief Medical Officers, Chief Information Officers, IT Directors, Clinical Leadership, Compliance and Operations Staff, Quality Improvement Staff, Care Team Members, and Patient-Centered Health Home Initiative Champions. Two complimentary Quality Forum registrations Opportunity to judge Center Storyboards Company logo included in promotional s Recognition in program Ad distributed to all attendees Sponsorship acknowledgment in NJPCA Team News Update to members Acknowledgment on NJPCA event webpage Social media recognition on NJPCA Facebook and Twitter Exhibitor table with the opportunity to provide giveaways to attendees Opportunity to welcome attendees and provide a 2-minute organization overview 2019 NJPCA Sponsorship & Exhibitor Opportunities 9 P a g e

10 EVENT SPONSOR - $4,000 ANNUAL WOMEN S HEALTH ASSEMBLY May 17, 2019 Each year, the NJPCA hosts a Women s Health Week Luncheon. Over 100 attendees from across the State join us to celebrate women s health. Topics such as nutrition, general physical health, the importance of exercise, mental health, gynecological health, breast, and colorectal cancer are discussed at the Assembly. We are joined by legislative supporters, attendees from across the New Jersey healthcare landscape including a spectrum of industries and interests, i.e. the Department of Health, health center CEOs and staff, elected officials, hospital and insurance company representatives, lobbyists, mental health agencies and consumer advocates as well as legislative staff. Two complimentary registrations Company logo included in promotional s Recognition in program Ad distributed to all attendees Sponsorship acknowledgment in NJPCA Team News Update to members Acknowledgment on NJPCA event webpage Social media recognition on NJPCA Facebook and Twitter Exhibitor table with the opportunity to provide giveaways to attendees Opportunity to welcome attendees and provide a 2-minute organization overview 2019 NJPCA Sponsorship & Exhibitor Opportunities 10 P a g e

11 EVENT SPONSOR - $3,000 Financial Roundtable Summit Date TBD For the first time ever, NJPCA is allowing sponsors and exhibitors to partake in the Annual Financial Roundtable Summit. The Financial Roundtable Summit is designed for health center financial personnel including Chief Executive Officers, Chief Financial Officers, and Billing Managers. The regional training will provide a day-long HRSA fiscal technical assistance workshop. This training provides an opportunity for attendees to learn from content HRSA experts as well as visit with sponsors and exhibitors who support this event. Two complimentary conference registrations Company logo included in promotional s Recognition in program Ad distributed to all attendees Sponsorship acknowledgment in NJPCA Team News Update to members Acknowledgment on NJPCA event webpage Social media recognition on NJPCA Facebook and Twitter Exhibitor table with the opportunity to provide giveaways to attendees at each event Opportunity to welcome attendees and provide a 2-minute organization overview 2019 NJPCA Sponsorship & Exhibitor Opportunities 11 P a g e

12 See page15 for the various sponsorship options NJPCA ANNUAL CONFERENCE 30 TH ANNIVERSARY CELEBRATION October 2 3, 2019 Have your company recognized at our Annual Conference. Join us in celebrating NJPCA s 30 th anniversary! Each year, the NJPCA hosts a two-day Annual Conference in Atlantic City, New Jersey. This two-day conference allows healthcare professionals at all levels to come together to share and learn best practices, network with experts in the field, and leave feeling empowered. Over 300 New Jersey healthcare professionals come together to learn about finance, clinical quality, federal regulations, outreach & enrollment, governance, clinical quality, emergency management, and behavioral health. Take advantage of a variety of Conference sponsorship opportunities. There is no better opportunity to increase awareness of your company s products and services to NJ s FQHC decision-makers. As a sponsor of the 2019 Annual Conference, you gain access to high-level leadership of NJ s FQHCs, recognition in event materials and on the Conference website, a better understanding of NJ FQHCs needs and wants as well as the opportunity to build partnerships and network with all levels of Community Health Center staff NJPCA Sponsorship & Exhibitor Opportunities 12 P a g e

13 ONE EVENT ISN T ENOUGH I WANT MORE 30 TH ANNIVERSARY BUNDLE 2019 NJPCA Sponsorship & Exhibitor Opportunities 13 P a g e

14 NJPCA Sponsorship Bundle Benefits BENEFITS DIAMOND (Limited Availability) PLATINUM (Limited Availability) GOLD SILVER BRONZE Cost $60,000 (Includes all events for the entire year) $30,000 (Annual Conference Only) $20,000 $12,000 $6,000 (Annual Conference Only) Number of Events included in Sponsorship Complimentary Registrations at Annual Conference with Complimentary Meals* Exhibitor Registrations* 10 full conference registrations 10 registrants 3 tables 10 full conference registrations 10 registrants 3 tables 7 full conference registrations 7 registrants 2 tables 5 full conference registrations 5 registrants 1 table 2 conference registrations 2 registrants 1 table Advanced Selection of Exhibitor Table Location Corporate Table Seating* Promotional Giveaway Opportunity with Attendee Materials 2nd tier 3rd tier 10 seats with VIP location 10 seats with VIP location Company Banner Displayed in the General Session Room Opportunity to Sponsor Signature Ceiling Banner with Company and Health Center Logos Verbal Recognition to Members 7 seats with VIP location 5 seats with VIP location 2 seats with VIP location Program Ad distributed to All Attendees Full page ad Full page ad 1/2-page ad 1/4-page ad Listed name Corporate Logo on All Event Signage and Promotional s Sponsorship Acknowledgement in NJPCA Weekly Team News Update to Members Acknowledgement on NJPCA Website Sponsorship Page until December 31, 2019 Acknowledgment on NJPCA Homepage until December 31, 2019 Social Media Recognition via Facebook & Twitter 2019 NJPCA Sponsorship & Exhibitor Opportunities 14 P a g e

15 30 TH ANNIVERSARY BUNDLE Get more for your money and extend your brand visibility by supporting multiple NJPCA conferences throughout the year. Choose from one of the following sponsorship levels and make direct outreach with NJPCA membership at various events! DIAMOND - $60,000 (5 events) MCO Update University Clinical Quality Forum Annual Women s Health Assembly Financial Roundtable Summit NJPCA Annual Conference 30 th Anniversary Celebration PLATINUM - $30,000 (1 event) NJPCA Annual Conference 30 th Anniversary Celebration [Exclusive Sponsorship Opportunities] GOLD - $20,000 (4 events) MCO Update University Clinical Quality Forum Annual Women s Health Assembly NJPCA Annual Conference 30 th Anniversary Celebration SILVER - $12,000 (2 events) MCO Update University, Clinical Quality Forum, OR Annual Women s Health Assembly NJPCA Annual Conference 30 th Anniversary Celebration BRONZE - $6,000 (1 event) NJPCA Annual Conference 30 th Anniversary Celebration 2019 NJPCA Sponsorship & Exhibitor Opportunities 15 P a g e

16 Diamond Sponsor - $60,000 Exclusive Offer for only 4 Companies per Calendar Year (Total of 5 Events) CONFERENCES AND EXHIBITING Sponsor of the MCO Update University, Clinical Quality Forum, Annual Women s Health Assembly, Financial Roundtable Summit: Finance, Billing, and Grants Management AND the NJPCA Annual Conference 30th Anniversary Celebration Premier exhibit table at all events listed above Complimentary attendance for four (4) to MCO Update University, Clinical Quality Forum, Annual Women s Health Assembly AND Financial Roundtable Summit: Finance, Billing, and Grants Management Three exhibit tables and up to 10 full registrations for NJPCA Annual Conference (includes complimentary meals at the event) Advanced opportunity to select premium exhibit location in the exhibit hall VIP seating at a corporate table of 10 at conference luncheon SPONSORSHIP RECOGNITION Corporate logo on NJPCA website homepage and sponsor thank you page Corporate logo on all event signage Full page ad in the conference program distributed to all attendees (designed by sponsor) Opportunity to include promotional giveaway (provided by sponsor) in NJPCA attendee materials Your company banner (provided by sponsor) hung in general session room MARKETING TO MEMBERS The announcement of Diamond sponsorship verbally at the conference, on Twitter, Facebook and on all event s leading up to the Annual Conference The announcement of Diamond Sponsor in Weekly NJPCA Center Team News Update until December 31, 2019 Opportunity to introduce your own organization and thank members publicly during the main event Acknowledgment on event specific page of NJPCA website Qualifies organization to sponsor the following additional conference opportunities o Ceiling banners with company logo and health center name hung in the main ballroom o Conference bags o Mobile Event App o Conference Entertainment 2019 NJPCA Sponsorship & Exhibitor Opportunities 16 P a g e

17 Platinum Sponsor - $30,000 Exclusive Offer for only 2 Companies per Calendar Year (Annual Conference Only) CONFERENCES AND EXHIBITING Three exhibit tables and up to 10 full conference registrations (includes complimentary meals at the event) VIP seating at a corporate table of 10 at conference luncheon Advanced opportunity to select premium exhibit location in the exhibit hall SPONSORSHIP RECOGNITION Corporate logo on NJPCA website homepage and sponsor thank you page Corporate logo on all event signage Full page ad in the conference program distributed to all attendees (designed by sponsor) Opportunity to include promotional giveaway (provided by sponsor) in NJPCA attendee materials Your company banner (provided by sponsor) hung in general session room MARKETING TO MEMBERS The announcement of Platinum sponsorship verbally at the conference, on Twitter, Facebook and on all event s leading up to the Annual Conference The announcement of Platinum Sponsor in Weekly NJPCA Center Team News Update until December 31, 2019 Opportunity to introduce your own organization and thank members publicly during the main event Acknowledgment on event specific page of NJPCA website until December 31, 2019 Qualifies organization to sponsor the following additional conference opportunities o Ceiling banners with company logo and health center name hung in the main ballroom o Conference bags o Mobile Event App o Conference Entertainment (Total of 4 Events) 2019 NJPCA Sponsorship & Exhibitor Opportunities 17 P a g e

18 Gold Sponsor - $20,000 (Total of 4 Events) CONFERENCES AND EXHIBITING Official Gold Sponsor & Exhibitor of the NJPCA Annual Conference, MCO Update University, Clinical Quality Forum, AND Annual Women s Health Assembly Two exhibit tables and up to 7 full conference registrations for the NJPCA Annual Conference (includes complimentary meals at our event) Two exhibit tables and up to 4 registered exhibitors at MCO Update University, Clinical Quality Forum AND Annual Women s Health Assembly Advanced opportunity to select premium exhibit location in the exhibit hall SPONSORSHIP RECOGNITION Corporate logo on NJPCA website Corporate logo on all event signage 1/2-page ad in the Annual Conference program distributed to all attendees Display banner (provided by sponsor) in general session room at Annual Conference MARKETING TO MEMBERS The announcement of Gold sponsorship in Weekly NJPCA Center Team News Update until December 31, 2019 The announcement of Gold sponsorship in NJPCA Weekly Team News Update for a year Promotional giveaway opportunity with attendee materials Acknowledgment on event specific page of NJPCA website until December 31, 2019 Silver Sponsor - $12,000 (Total of 2 Events) CONFERENCES AND EXHIBITING Official Silver Sponsor & Exhibitor of the NJPCA Annual Conference along with one of the following events of your choice: MCO Update University, Clinical Quality Forum OR Annual Women s Health Assembly One exhibit table and up to 5 full conference registrations (includes complimentary meals at our event) 2nd Tier Advanced opportunity after Gold Sponsors, to select premium exhibit location in the exhibit hall SPONSORSHIP RECOGNITION 1/4-page ad in the conference program distributed to all attendees Corporate logo on all event signage, registration, and promotional s (Annual Conference Only) MARKETING TO MEMBERS Acknowledgment on event specific page of NJPCA website until December 31, NJPCA Sponsorship & Exhibitor Opportunities 18 P a g e

19 Bronze Sponsor - $6,000 (Annual Conference Only) CONFERENCES AND EXHIBITING The bronze sponsor of the NJPCA Annual Conference One exhibit table and 2 registered exhibitors (includes complimentary meals at our event) 3rd Tier Advanced opportunity after Gold and Silver Sponsors, to select premium exhibit location in the exhibit hall MARKETING TO MEMBERS Corporate logo on all event signage, registration, and promotional s Acknowledgment on event specific page of NJPCA website until December 31, 2019 Additional Opportunities Looking for something to increase your visibility? Select from any of the following additional Annual Conference opportunities. Pricing per opportunity varies and will be provided once requested. Talk to us about your specific goals and let us craft a sponsorship exclusively for you! Contact Marwa Chebli at mchebli@njpca.org (609) x 20 for more information. Exhibitor Hall Appetizers Exhibitor Hall Open Bar Sponsor a Speaker Photobooth Coffee Break Charging Station Name Badge Themed Snack Break Conference Giveaways Pom Poms Elevator Door Wraps 2019 NJPCA Sponsorship & Exhibitor Opportunities 19 P a g e

20 2019 NJPCA ANNUAL CONFERENCE Harrah s Resort Atlantic City, New Jersey October 2-3, 2019 ADDITIONAL ANNUAL CONFERENCE EVENT HOSTING OPPORTUNITIES When your organization is already a sponsor at the annual conference and you want to do something extra that makes you stand out in a crowd, have your organization highlighted and marketed to over 350 FQHC decision makers at one of our additional event hosting opportunities! Partner with NJPCA to host an inspiring event to recognize and honor leadership, teamwork, and the unwavering commitment of New Jersey s 24 Federally Qualified Health Centers. Choose from the following events reviewed in the following pages: NJPCA Peer Support Networking Reception Breakout Breakfast Healthcare Heroes Luncheon Event sponsorship includes: Presentation to NJPCA membership. Exclusive sponsorship and exhibit display for the event. Exclusive display of your company banner and advertisement. Company logo scrolling on NJPCA homepage through December 31, Logo placement in NJPCA playbook and programming materials NJPCA Sponsorship & Exhibitor Opportunities 20 P a g e

21 2019 NJPCA ANNUAL CONFERENCE Harrah s Resort Atlantic City, New Jersey October 2-3, 2019 EVENT HOSTING OPPORTUNITY: NJPCA Invite Only Peer Support Networking Reception Last year, NJPCA held the Peer Support Networking Reception at Harrah s in Atlantic City, with drinks and appetizers for all. The Peer Support Networking Reception includes Billing Directors, Communications Network, Emergency Management Network, Chief Financial Officers, Human Resources Directors, Medical and Dental Directors, Nursing Directors, Outreach & Enrollment, Directors of Quality Assurance/Quality Improvement, and Special Populations. All peer support workgroups meet the first hour individually and then in a combined networking session. As the event sponsor, you and your team will share your organization s goals and have the opportunity to network with our members. Event sponsorship cost: $10, NJPCA Sponsorship & Exhibitor Opportunities 21 P a g e

22 EVENT HOSTING OPPORTUNITY: Breakout Breakfast 2019 NJPCA ANNUAL CONFERENCE Harrah s Resort Atlantic City, New Jersey October 2-3, 2019 The Breakout Breakfast Session has quickly become one of the most anticipated learning sessions of the NJPCA Annual Conference. Each year, NJPCA develops programming that generates a deeper understanding of the care that FQHCs provide. The morning breakfast session is always unique, interesting, and challenges attendees to think outside of the box. Last year, the Breakout Breakfast focused on the importance of healing our communities by discovering the power in forgiveness, finding our purpose through life s hardships, and maintaining our grace throughout the process of healing. Forgiveness and empathy not only go hand-in-hand in the healing process, but they also can impact our mental health, and in some instances, it can also impact our physical health. The audience had the opportunity to hear the personal stories of Mary Johnson-Roy and Oshea Israel. Mary Johnson s only son, 20-year-old Laramiun Byrd was murdered in 1993, the perpetrator was 16-year-old Oshea Israel. Israel was sentenced to 25 years in prison and in 2010 was released after serving 17 years. Since his release, he and Mary Johnson have been traveling the country spreading their unique message of the power of forgiveness and healing. As the event sponsor, you and your team will help us introduce the guest speakers of the Breakout Breakfast. Event sponsorship cost: $5, NJPCA Sponsorship & Exhibitor Opportunities 22 P a g e

23 EVENT HOSTING OPPORTUNITY: Healthcare Heroes Luncheon 2019 NJPCA ANNUAL CONFERENCE Harrah s Resort Atlantic City, New Jersey October 2-3, 2019 Join us in recognizing the special talent and unwavering commitment of our colleagues during the Healthcare Heroes Luncheon, our favorite part of the day! Each New Jersey Community Health Center selects a model employee to be honored. Awardees are selected based on their selfless commitment and unwavering dedication to the mission of their Community Health Center. As the event sponsor, you and your team will share your organization s goals, join us in VIP seating, and assist us in introducing the afternoon s entertainment. Event sponsorship cost: $10, NJPCA Sponsorship & Exhibitor Opportunities 23 P a g e

24 ADDITIONAL OPPORTUNITY ADDITIONAL OPPORTUNITY National Health Center Week Various Locations throughout New Jersey August 4-10, 2019 National Health Center Week (NHCW) is a celebration observed in August each year recognizing the service and contributions of New Jersey s Federally Qualified Health Centers (FQHCs), their dedicated staff, board members, and all those responsible for the continued success and growth of the program. During this weeklong event, NJPCA and the FQHCs celebrate the legacy of Community Health Centers and their vital role in providing access to affordable, high quality, cost-effective health care to the underserved and high-risk populations in the State. One in every fifteen people across the nation receives care at community health centers. Across the nation, community health centers provide care to over 23 million Americans. New Jersey s 24 health centers and their 138 satellites are a part of the 9,200 centers across the United States. Each year the NJPCA and a selected FQHC host a kick-off event on the Monday of NHCW. The kick-off location changes on an annual basis. For more information on the kick-off and how your company can participate, contact Marwa Chebli at mchebli@njpca.org NJPCA Sponsorship & Exhibitor Opportunities 24 P a g e

25 2019 NJPCA SPONSOR REGISTRATION FORM YOUR INFORMATION (PLEASE PRINT): Organization or Individual: The sponsorship will be recognized using the name above in printed materials, announcements, etc. Name: Title: Phone: Address: City: State: Zip: SPONSORSHIP (Please select from either the Individual Event Sponsorship or the 30 th Anniversary Bundle) INDIVIDUAL EVENT SPONSORSHIP ADDITIONAL ANNUAL CONFERENCE OPPORTUNITIES 30 TH ANNIVERSARY BUNDLE MCO Update University ($3,000) Diamond ($60,000) Clinical Quality Forum ($5,000) Platinum ($30,000) Annual Women s Health Assembly ($4,000) Gold ($20,000) Financial Roundtable Summit ($3,000) Silver ($12,000) NJPCA Peer Support Networking Reception Breakout Breakfast Healthcare Heroes Luncheon $10,000 $5,000 $10,000 PAYMENT INFORMATION CHECK ENCLOSED FOR $ (Payable to NJPCA) CREDIT CARD Please select one of the three events to sponsor in addition to the Annual Conference: Bronze ($6,000) IMPORTANT NOTICE REGARDING PAYMENT NJPCA Annual Conference Sponsors must be paid in full by September 1, NJPCA Sponsorship & Exhibitor Opportunities 25 P a g e MCO Update University Clinical Quality Forum Annual Women s Health Assembly If your organization is interested in sponsoring National Health Center Week or any other additional Annual Conference opportunities, please contact Marwa Chebli at mchebli@njpca.org (609) x 20. Card Number: Expiration Date: / / CSV: Name on Card: Signature: Authorization I/We accept all benefits associated with our chosen level of sponsorship. (Please initial) Please make checks payable to: NJPCA Attn: Kelly Dawson 3836 Quakerbridge Rd, Suite 201 Hamilton, NJ Online Payment will be available February 2019 on the NJPCA website.

26 2019 ANNUAL CONFERENCE EXHIBITOR REGISTRATION FORM NJPCA s Annual Conference Sponsors who are exhibiting must also complete this form, however, no registration fee is required NJPCA Annual Conference OCTOBER 2-3, 2019 Atlantic City, NJ Exhibit Fee: $1,800 Includes: One six-foot skirted display table and 2 chairs, Appetizer (Day2), Lunch for 2 Reps. on (Day2) PLEASE PRINT: Exhibitor Registration Deadline: September 1, 2019 Name of Contact Company Name Company Address City, State, Zip Company Phone Company URL: Nature of Company Business/Service Exhibit Rep #1 Name: Exhibit Rep #2 Important Note: Name: If you have more than two (2) exhibitors, please include an additional $75.00 per exhibitor, along with their first and last name. This charge of $75.00 covers luncheon attendance per person. $1800 exhibitor registration fee includes lunch for two (2) exhibitors on (Day 2). TOTAL EXHIBITOR REGISTRATION FEES: $.00 Payment by CHECK must be submitted with this completed form (payable to: NJPCA) MAIL form to: NJPCA Exhibitor Registration 3836 Quakerbridge Road Suite 201 Hamilton, NJ To pay by credit card, you must register ONLINE at njpca.org Online Payment will be available February 2019 on the NJPCA website NJPCA Sponsorship & Exhibitor Opportunities 26 P a g e

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