Head & Neck Cadaver Dissection Course

Transcription

1 Head & Neck Cadaver Dissection Course 30 June & 1 July 2017 SPONSORSHIP PACKAGE

2 INVITED GUESTS: A/Professor Stuart Mackay Dr MacKay completed his training in Otolaryngology Head&Neck Surgery in 2006 and then undertook 12 months of training in Contemporary Airway Reconstruction techniques for OSA with Dr Sam Robinson and Professor Simon Carney in Adelaide. Since returning to Wollongong in 2008, he has established a Sleep Multidisciplinary Team which meets for regular patient reviews in the Illawarra. He has delivered national and international lectures on Surgery for OSA, including invited keynote addresses as far afield as India, published papers on new techniques and philosophies and co-authored multiple peer reviewed papers on different aspects of sleep medicine. He is currently the only surgeon on the Australasian Sleep Association Clinical and Conference committees. Dr MacKay resides in Wollongong, New South Wales, with his wife and three children. Dr. Andrew Jones Dr Andrew Jones is a Respiratory & Sleep Disorders Physician working in public and private practice in Wollongong in NSW. He undertook his speciality training at Royal Prince Alfred Hospital and Concord Hospital in Sydney. He has a specific interest in Obstructive Sleep Apnoea management, in particular, the role of a multidisciplinary team in defining best treatment outcomes and assessing the role of treatment options other than CPAP in the condition. He has a strong interest in Medical Education and is the current Director of Richard Lewis Dr Lewis was trained in Otolaryngology, Head & Neck Surgery in Perth. Following this he completed afellowship in Head and Neck Oncology, Microsurgery and OSA surgery in the USA (Indianapolis), followed by a Skull Base Fellowship in London. He is currently a Consultant Surgeon at Royal Perth hospital as well as working in private practice in Perth. His practice is predominantly in OSA management and Head and Neck Oncology surgery. He has ongoing research studies in both OSA surgery as well as Head and Neck surgery.

3 Major Sponsors Benefits Platinum Sponsor $15,000 exc GST (i.e.$16,500 incl GST) Gold Sponsor $10,000 exc GST (i.e. $11,000 incl GST) Silver Sponsor $7,000 exc GST (i.e. $7,700 incl GST) Bronze Sponsor $5000 exc GST (i.e. $5,500 incl GST) Other *Company logo included on the back cover of the Program *Colour advertisement in the Program (A5 Program) Full A5 Full A5 Half A5 Half A5 #Company representative registration including: Daily morning tea, lunch and afternoon tea Access to scientific sessions Company representation to attend the Delegate circulation list Satchel insert (no larger than A4 size) *Inclusion subject to time of receipt of application and payment #Additional industry representative registrations can be purchased for $385 inc GST.

4 Additional Industry Representative Registration $385 inc GST All company representatives attending the booth must be registered. Additional industry representative registrations can be purchased for the duration of the Meeting and includes: - Daily morning tea, lunch and afternoon tea served in the exhibition area (as applicable); - Access to scientific sessions; - Delegate circulation list including name and state/country provided on the bump-in day of the exhibition

5 General Information Meeting Date Friday 30 June Saturday 1 July 2017 Venue The University of Queensland Department of Anatomy & Developmental Biology, Otto Hirschfeld Building St Lucia, Brisbane, Qld 4072 Exhibition Hours Friday 30 July 2017 Saturday 1 July am pm 8.00am pm Booking and Payment Method Please complete the application form and return along with full payment to the Meeting Organisers. Confirmation of your application will be forwarded to you together with a tax invoice. Acceptance of sponsorship/exhibition applications is subject to the Organising Committee approval. Shirley Littlemore entconferencespah@health.qld.gov.au

6 Company Name (to appear in Meeting publications): Title: Contact Name: Position: Contact person will receive all correspondence in relation to the Meeting. Address: City: State: Postcode: Country: Phone: Fax: Mobile: Sponsorship All cost are in AUD and include GST Major Sponsorship Platinum Sponsorship Gold Sponsorship Silver Sponsorship Bronze Sponsorship Other Sponsorship Amount SUB TOTAL SPONSORSHIP Sub Total Industry Representatives Registration includes 3 industry representatives for Platinum Sponsorship, 2 representatives for Gold Sponsorship, 1 representative for Silver Sponsorship and 1 representative for Bronze Sponsorship. Please provide first name and surname for name badges (as applicable): Name Name Name Name Name Additional Representative Registrations All costs are in AUD and include GST Additional Onsite Representative Name Amount Sub Total SUB TOTAL ADDITIONAL INDUSTRY REPRESENTATIVES Please attach additional sheets on company letterhead if more than four additional representatives are required.

7 Payment Options 1. Cheque Made payable to PA Research Foundation 2. Credit Card Please fill in details below 3. EFT Payment Account Name: PA Research Foundation Head and Neck BSB Number: Account Number: Bank Name: Commonwealth Bank Australia BIC/SWIFT Code: CTBAAU2S Please send remittance to: SPONSORSHIP ADDITIONAL INDUSTRY REPRESENTATIVES TOTAL PAYABLE (AUD) $ Cancellations must be received in writing by the Meeting Organiser. Cancellations will not be refunded unless sponsorship / booth space are able to be re-sold. A tax invoice will be issued upon processing of this application form. Terms and Conditions We accept the terms and conditions as printed in this Package. Signature Credit Card Details VISA MASTERCARD Card Number: / / / / / / / / / / / / / / / / / / / / Expiry Date: / / / Cardholder s Name (please print) Cardholder s Signature Date

8 Terms and Conditions The application of the Exhibitor to exhibit is an offer which is accepted by the PA Research Foundation/Dept. of Otolaryngology, Head & Neck Surgery of the amount payable on making the application. Booking Conditions Acceptance of Sponsorship/Exhibition Applications will be subject to Committee approval. The Committee reserves the right to decline applications based on any association, direct or indirect, that does not uphold the objectives of the Meeting. Cancellation Policy In the case of the cancellation of sponsorship, unless all sponsorship is resold PA Research Foundation will reserve the right to retain monies received. In the case of the cancellation of a booth/s, please note that unless we are able to sell all space we reserve the right to retain all monies received. If the balance of payment on the booth/s is not received within the trading terms the allocated booth/s will be cancelled. Attendance The Exhibitor understands that all attendees must register officially. General Terms The Exhibitor agrees to be bound by the Exhibition General Terms and Conditions. Conditions set out in the Sponsorship Prospectus document, which is acknowledged as being received. Booth Allocation The exhibitor understands that booths and/or space will be allocated strictly to order of receipt of payment and that the Committee s decision will be final. Liability and Insurance The exhibitor and the servants, agents and contractors of the exhibitor occupy and use the exhibition space/booth allotted under this exhibition contract and enter the Sheraton, Noosa and act under or pursuant to this exhibition contract at their own risk. The exhibitor hereby indemnifies and releases the Dept. of Otolaryngology, Head & Neck Surgery ( the Organisers ), Sheraton, Noosa and the exhibition contractor and each of them against all actions, suits, costs, claims and demands brought against the Organiser, and the Venue Managers by any natural person, firm or corporation for any damage or loss caused directly, or indirectly to, or suffered by any person, firm or corporation as a result of any act or default of the exhibitor or the servants, agents, contractors or invitees of the exhibitor or resulting directly or indirectly from the attendance of the exhibitor at the exhibition, including travel to and from such venues and without limiting the foregoing the Organiser and the Venue Managers or any of them shall not in any circumstances be liable for any loss damage or injury which may occur to the exhibitor or the servants, agents or contractors of the exhibitor or for any damage to their property including damage to exhibits, plant equipment, fixtures, fittings or other property whatsoever or for any loss of profits which they may suffer howsoever caused.it is strongly advised that each exhibitor seek to cover their equipment, exhibits and display material with adequate insurance and also effect public risk insurance at the expense of the exhibitor. Implied Warranties In the event any statute implies any term condition or warranty into this agreement which cannot be lawfully excluded, such terms will apply to this agreement, save that the liability of the Organisers and each of them for breach of any such implied term will be limited, at the option of the Organisers, to any one or more of the following: the placement of goods to which the breach relates or the supply of equivalent goods the repair of such goods the payment of the cost of replacing the goods or of acquiring equivalent goods, or the payment of the cost of having the goods repaired Consequential Damage The Organisers will not be liable for any indirect or consequential damages arising out of a breach of this exhibition contract. Variations The Organiser may in the event of any circumstance which renders it necessary vary the booth or stand space allocation and the exhibitor will accept such re-allocation without any claim for a reduction in charges or otherwise. Unavoidable Occurrences In the event that the exhibition is cancelled or delayed through no fault of the Organiser, the Venue Manager or the Sponsors including but not limited to fire, flood, labour disputes, natural disasters, acts of God, civil disorders, riots, insurrections, work stoppages, slow downs or disputes, or other similar events then the exhibitor shall not be entitled to any refund or to claim for any loss or damage. Assignments and Subletting No exhibitor shall assign, sublet or share the whole or any part of the space booth allotted without the knowledge and consent of the Organiser. Hours The Organiser shall determine the hours during which the exhibition shall be conducted and as to hours of access for exhibitors including variations of such times as shall be necessary.