2009 Fall CLMA Conference October 15-16, 2009 Fall Registration Form Arkansas Chapter Clinical Laboratory Managers Association Fall Conference 2009 – Registration Form Meeting Location: Crowne Plaza Hotel, 201 S. Shackleford , Little Rock, AR, 72211 501-223-3000 Meeting Dates: Thursday & Friday, October 15 & 16, 2009 Registration Fee: One Day $40 – members; $50 non-members Two Days $60 – members; $70 non-members Registration Information Name: _______________________________________________________________________________ Address: _________________________________________________________________________ Institution: _________________________________________________________________________ Contact Number: Work: _______________________ Cell: _______________________________ Email Address: ___________________________________________________________________ Please register me for _____ Thursday; _____ Friday; _____ Both Days; Amount Enclosed: ______ ______I will be attending Dinner Thursday Night ( There is no Charge for this event) ______I will attend Wine Tasting Event (a CLMA PAC Fund Raiser!!) $10.00 admission Send Registration Forms To: Terri Riddle Sparks Regional Medical Center Lab 1001 Towson Ave Fort Smith, AR 72901 Fax: 479-441-4935 Email: triddle@sparks.org Checks should be made payable to CLMA and mailed to Terri at the same address. Payment will also be accepted on the day of registration. Vendor Registration Form Vendor Registration Crowne Plaza 201 S. Shackelford Little Rock, AR 72211 Phone: 1-501-223-3000 Arkansas Chapter CLMA Fall Conference October 15 & 16, 2009 Company Name: __________________________________ Name(s) of representatives attending: Please list special requirements for booths: Will you need a table? Will you need power outlets? Will you need chairs? (specify number) Would you like to sponsor a: • Booth $350.00 (single table) __ Van Demos $350.00___ • Break shares @$100.00 X_____ • Meal Shares @ $100.00 X _____ • Door Prizes_________ Make Check Payable To: Arkansas Chapter CLMA Please return form to--- William Scott Contact William Scott at with any questions. Vendor Letter Arkansas Chapter Clinical Laboratory Management Association August 29, 2009 Dear Friends and Supporters of CLMA, It is time again to make our plans and preparations for the 2009 Arkansas CLMA Fall Conference. The conference will be held October 15th and 16th. The conference will be held at the Crowne Plaza in Little Rock. Exhibition time for vendors will be Friday, October 16th from 11:00 am until 1:00 pm. Lunch will begin at 12:00 and you may either have lunch with us or keep your exhibit open during the lunch hour. Vendors may set-up Thursday evening after 6:00 pm or Friday morning. We need you to inform us of your booth requirements by using the enclosed registration form. Mobile Laboratory/Van Exhibition. It is possible this year to park a mobile laboratory/van exhibition at a designated parking area at the hotel. These may be set up for visits during the conference on Thursday, October 23rd. We usually have about 2 hours after the conference ends and before dinner begins. We ask a contribution of $350 for a booth or mobile lab/day display. In addition, we ask you to consider sponsoring a speaker, refreshments for breaks, or meals, and donating items for door prizes and favors. Meals and break shares may be sponsored for $100 per share. Any door prizes that you can contribute will be needed as well to help the event be successful. We anticipate that 50 to 75 laboratory managers, from all over the state, will attend. Each exhibitor and a guest are cordially invited to lunch on Friday and also to attend the informative seminars during the day. Also, rooms will be available at the hotel. Information regarding room rates is attached. Members of the Arkansas Chapter of CLMA are most thankful for your past support of our organization and our Fall Conferences. Your support and involvement has helped to make this conference an event that laboratory managers like to attend. This year’s program may prove to be the best one ever and we hope you will be with us. I look forward to meeting you and will do all I can to make sure your participation is productive. Please return the enclosed Vendor Registration forms by any method listed below. Feel free to contact me at 501-766-1052 with any questions you may have. Sincerely, William Scott, Past President Arkansas Chapter CLMA