LocumsMart 2018 Education Conference Vendor Registration Form
First and foremost, the LocusmMart Education Conference brings Members together to learn how they can work together more effectively and be more efficient with LocumsMart. Vendor Users will attend collaborative education and training sessions alongside their HCO User counterparts during the day, and group social/relationship-building opportunities in the evening. All attendees will benefit from learning tips for saving time and using LocumsMart more efficiently.

Please note: there is no exhibiting at the LocumsMart Education Conference, and all attendees should bring a laptop or tablet and be prepared to participate in classroom-style learning activities.

Registration for the LocumsMart Education Conference costs $500 per attendee, and includes:
- All education sessions and conference activities
- WiFi in the conference area
- 4 meals
- 2 receptions
*You MUST purchase a scholarship for an HCO User in order to attend. You may send as many reps as scholarships you've purchased. (For example: If you purchase 3 scholarships, you can purchase 3 company rep registrations.)


Scholarships will be extended to HCO Users who are interested in attending the LocumsMart Education Conference, but might not otherwise have the opportunity to do so. Are you immediately thinking of a particular HCO User that would benefit from attending? Please nominate him or her when you get to the scholarship section of the registration form. Vendors may register one attendee from their organization for each scholarship for which the Vendor provides funds.

Scholarship Details:
- $1750 to fund a scholarship for a single HCO User*
- Each scholarship covers attendee's:
--- Roundtrip travel to Nashville, TN
--- 2 night hotel stay during conference
--- All education sessions and conference activities
*Any scholarship funds offered to, but not used by, an HCO User will be used to enhance the education experience for the benefit of all attendees.

Vendors will be recognized for contributing scholarship funds at the following levels:

1 scholarship funded - Bronze
- Vendor name listed in conference program

3 scholarships funded - Silver
- Vendor name listed in conference program
- Vendor logo used in digital conference materials (slideshow on main screen)
- Vendor recognized verbally from podium at conference
- Premium Assigned seating next to a Scholarship Recipient in the main meeting space

6 scholarships funded - Gold
- Vendor name listed in conference program
- Vendor logo used in digital conference materials (slideshow on main screen)
- Vendor recognized verbally from podium at conference
- Vendor can provide a branded giveaway item to be added to a "goodie bag" for all attendees
- 1/4 page ad in the conference program

9 scholarships - Platinum
- All Previous Benefits
- Vendor can sponsor a "conference specific" branded item that will be used by all attendees during the conference (hotel room key, lanyard, WiFi login, etc.)
- Vendor can introduce a speaker and/or breakout session, and give a 30 second "elevator pitch" for your company
- 1/2 page ad in the conference program

12+ scholarships - Diamond
- All previous benefits
- Vendor can sponsor a branded item that will be used by all attendees during the conference and will be able to take home with them once the conference is completed (pens, notepads, mugs, cups, etc.)
- Sponsor a third-party speaker to give a vendor-neutral presentation
- Sponsor a co-branded mass email to be sent by LocumsMart to all attendees
- 1 page ad in the conference program

Email address *
Renaissance Nashville Hotel - September 19 - 21
611 Commerce Street, Nashville, TN 37203
How many scholarships would you like to contribute to the fund?
How many reps would you like to send? (Reminder: reps can't exceed number of scholarships funded)
Please indicate the names of your reps that will be attending with their email addresses and job title. Enter the main contact for additional information first. Please hit enter to have only one person per line. *
Your answer
If you would like to nominate a HCO user to attend and take part in the scholarship fund, please list their contact info below (name, email, facility) and why you think it would be good for them to attend:
Your answer
Payment will be arranged once your form is submitted. Click the following link to book your room with exclusive rates in advance. Space is limited. https://book.passkey.com/e/49615889
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