Sponsorship & Exhibits Payment Form Sponsorship & Exhibits Payment Form Sponsorship & Exhibits Payment Form Select the conference from the pull down. * Please Select...January 15, January 22, and/or January 29, 2025 - University of Illinois Cancer Center Winter CME Series If you are paying for more than one conference, please submit the payments separately. Exhibiting Company Name: Exhibiting Company Name: * Company Representative(s) First Name Last Name Email Phone Select all that apply: Attending the conference Organizer/contact for the exhibit Organizer/contact for the product theater plus1 Add minus1 Remove Sponsorship Selections All sponsorship levels include: Sponsorship acknowledgment on the website and conference materials (4) Representative conference registrations Bronze = $1,750Includes (1) 6-foot tabletop display or the equivalent floor space. Bronze = $1,750 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Silver = $2,750 Includes (1) 6-foot tabletop display or equivalent floor space and an opportunity to provide a registration bag insert. Silver = $2,750 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Gold = $4,750 Includes (1) 6-ft tabletop display or the equivalent floor space and an opportunity to provide a registration bag insert, a customized dedicated exhibitor spotlight email sent to myMedEd, Inc.’s oncology/hematology database of over 2,000 HCPs nationally, premium foot traffic location, and NEW: 2 tickets to attend the Networking event held at the end of the session. Gold = $4,750 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Platinum = $6,000 Includes 10x10 Space with (2) 6-ft tables or the equivalent floor space and an opportunity to provide a registration bag insert, a customized dedicated exhibitor spotlight email sent to myMedEd, Inc.’s oncology/hematology database of over 2,000 HCPs nationally, premium foot traffic location, and NEW: 4 tickets to attend the Networking event held at the end of the session. Platinum = $6,000 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients S2L Exhibit Opportunities Bronze = $2,750 Silver = $3,750 Gold = $5,750 Platinum = $10,000 SPONSORSHIP DETAILSEXHIBITOR INFORMATION NEW - Networking Event (Included in Gold and Platinum Level Sponsorships): Light appetizers and alcohol and non-alcoholic beverages will be provided beginning at 6pm until 7pm @ Morgan’s on Fulton. All Faculty, Attendees and Exhibitors* are invited to attend. At other similar conferences, this is an unopposed time that allows for open discussion, collaboration and introductions which has been well received and attended. *(2) representatives from Gold sponsors and (4) representatives from Platinum sponsors are welcome. Upgrades The sponsoring organization must also be an exhibitor to be eligible for an upgrade. Is a different representative going to be submitting the exhibit application? Yes No Exhibitor Spotlight – Dedicated promotional e-Blast = $1,500 An email promoting your company’s exhibit information will be sent to all past participants and current registrants within 2 weeks before the conference. - Included in Gold and Platinum Exhibitor Spotlight – Dedicated promotional e-Blast = $1,500 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Product Theater = $7,500 - Must be a Gold or Platinum Sponsor - Includes meeting space and basic AV - The meeting room will be set for up to 25 participants in theater seating - A dedicated email promoting the Product Theater will be sent to all past participants and current registrants within 2 weeks before the conference. - An activity announcement can be provided to be included in the registration bag - Acknowledgement of the support will be in all materials - Scheduling of the product theater will be on a first-come-first-served basis - The conference organizers will do their best to prevent concurrent ancillary events from being scheduled at the same time Product Theater = $7,500 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Product Theater Online Live Stream Upgrade = $2,500A live online broadcast stream promoted to myMedEd, Inc.’s oncology/hematology database of over2,000 HCPs nationally Product Theater Online Live Stream Upgrade = $2,500 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Onsite Meeting Space = $2,500- Must be a Gold or Platinum Sponsor- Space will be assigned on a first-come first-served basis- Basic AV will be provided- Meetings cannot be scheduled during the General Sessions Onsite Meeting Space = $2,500 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Faculty Dinner = $10,000- Must be a Gold or Platinum Sponsor- Includes Invitation and RSVP management by the conference organizers for up to 30 attendees- Venue / Menu selections and management- Basic AV, depending on needs- Event communication to faculty attendees- Opportunity to briefly present if desired- A desired 1 per 5 attendees from the supporting company ratio is permitted Faculty Dinner = $10,000 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Registration Bags = $3,000- Custom canvas registration bags with company logo- Price includes customization, fulfillment and shipping Registration Bags = $3,000 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Tumblers = $2,000- Custom insulated stainless steel tumblers with company logo- Price includes customization, fulfillment and shipping Tumblers = $2,000 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Networking Event Tickets = $200- Includes access to end-of-session Networking Event Networking Event Tickets = $200 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients Additional Representative Session Attendance = $200 Session 1: January 15, 2025 – Hematologic Malignancies – Update from ASH Session 2: January 22, 2025 – Women and GU Cancers Session 3: January 29, 2025 – Emerging Paradigms in the Management of Oncology Patients S2L Upgrades Exhibitor Spotlight - Dedicated promotional e-Blast (included in Gold & Platinum)= $1,500 Product Theater = $12,500 Thursday Evening Faculty Dinner Sponsorship = $7,500 Product Theater Online Live Stream Upgrade = $5,000 A live online broadcast stream promoted to the national database of 2,000+ past participants Describe the sponsorship update that is being submitted and why. * Billing Information Please Select * Pay Via Check Pay Via ACH/Wire Transfer Pay Via Credit Card NOTE: When the Credit Card form below is completed and submitted, the payment will be processed immediately through Stripe, the credit card processor. Make Checks Payable to: myMedEd, Inc. 518 S. IL Route 31 #194 McHenry, IL 60050 TAX ID: 82-4893155 First Name - Billing * (Name on card) Last Name - Billing * (Name on card) Subtotal: * $ Payment Amount * $ Purchase Notes * Address - Billing * Address - Billing Address - Billing Address - Billing Address - Billing Address - Billing State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Address - Billing Credit Card - Billing * Email * Submit Application If you are human, leave this field blank. Δ