20th annual selby spine conference
EXHIBITOR PROSPECTUS
20TH ANNUAL
SELBY SPINE CONFERENCE
FEBRUARY 2-4, 2017
PA R K C I T Y, U TA H
Dear Prospective Course Supporter,
On behalf of Course Director Jean-Jacques Abitbol, MD, FRCSC and CoCourse Directors Richard Fessler, MD; Pierce Nunley, MD, John Small, MD and
the Foundation for Orthopaedic Research and Education (FORE), we invite your
company to participate at the 20th Annual Selby Spine Conference , which will
take place February 2-4, 2017 in Park City, Utah.
Selby Spine grew out of the Keystone Meeting that Dr. David Selby began
in Keystone, Colorado in 1986. In it’s 20th year, this three day continuing
medical education course is designed for surgeons with a special interest in
the treatment of spinal disorders. The latest advances and controversies in the
field will be presented through didactic lectures, open discussions, debates
and case presentations. The conference will be held at Hotel Park City and will
provide and intimate learning environment with many opportunities to interact
with our renowned faculty and attendees.
The 20th Annual Selby Spine Course will target a national audience of over
100 Neuro and orthopaedic spine surgeons, in addition to other healthcare
professionals whose scope of practice includes spine surgery.
This course offers a wide variety of support packages designed to provide
opportunities to communicate your message to an eager and engaged
audience. Supporting the course will allow you to provide orthopaedic
surgeons with information and education about your products, while
demonstrating your support for the orthopaedic community and commitment
to educating healthcare professionals about spine surgery.
For further information on the course, please visit:
https://foreonline.org/event/selby-spine/
We look forward to seeing you in Park City!
Sincerely,
Crystal Dawson
Grants Coordinator, Continuing Medical Education
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Course Faculty
COURSE DIRECTORS
Jean-Jacques Abitbol, MD
California Spine Group, MC
San Diego, CA
CO-COURSE DIRECTORS
Richard G. Fessler, MD, PhD
RUSH University Medical Center
Chicago, IL
Pierce D. Nunley, MD
Spine Institute of Louisiana
Shreveport, LA
FACULTY Subject to change
Sigurd H. Berven, MD
University of California San Francisco;
Department of Orthopaedics
San Francisco, CA
Rick C. Sasso, MD
Indiana Spine Group
Carmel, IN
Wellington K. Hsu, MD
Northwestern University
Chicago, IL
Alexander R. Vaccaro, MD, PhD, MBA
Rothman Institute
Philadelphia, PA
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Preliminary Schedule of Events
WEDNESDAY, FEBRUARY 1, 2017
4:00 – 6:00PMExhibitor Set-up
6:00PM Registration
6:30PM
Welcome Reception
THURSDAY, FEBRUARY 2, 2017
6:30 AM Registration and Breakfast
7:00 AM
General Session
9:30 AM
Morning Session Adjourns
3:30 PM
Après Ski & Exhibits
4:00 PM
General Session
7:00 PM
Adjourn
FRIDAY, FEBRUARY 3, 2017
6:30 AM
Breakfast
7:00 PM
General Session
9:30 AM
Morning Session Adjourns
3:30 PM
Apres Ski & Exhibits
4:00 PM
General Session
7:00 PM
Adjourn
SATURDAY, FEBRUARY 4, 2017
6:30 AM
Breakfast
7:00 AM
General Session
10:00 AM
Course Adjourns/Exhibitor Teardown
4
Sponsorship Opportunities
Support Packages/Levels
Platinum
$12,000
Gold
$8,000
Silver
$6,500
Bronze
$4,000
10’x20’
10’x10’
10’x10’
Single Tabletop
One Piece
One Piece
One Piece
One Piece
6
One Lunch
& Learn
6
4
2
15%
10%
Support Package Summary
Space
8.5”x11” Double-Sided
Promotional Take One
Complimentary Registrations
Lunch & Learn
Welcome Reception Sponsorship
Discounts on Advertising Opportunities
Discount on Advertising
25%
options below
Exclusive
Sponsorship
Welcome
Reception
20%
5
À La Carte Opportunities
Exhibit Space
10’x10’ (includes 2 complimentary badges)
$5,000
Single Table Top (includes 2 complimentary badges)
$3,000
Promotional Opportunities
Focus Group
$10,000
Non CME Lunch and Learn
This non-CME time provides your company with the opportunity to format a program with
speaker selection designed to specifically enhance your company’s marketability. You
will have 60 minutes to discuss, demonstrate or debate with program attendees on your
preferred device or procedure. Attendees will be notified that this is optional and not for
CME credit.
$8,000
Welcome Reception Sponsorship
Sponsorship of a Reception includes company name displayed on-site and on promotional
materials.
$5,000
Branded Coffee Cups, Water Cups and Cocktail Napkins (EXCLUSIVE)
*One available on first come, first serve basis. Sponsor is responsible for providing logo,
based on specifications provided by FORE.
$2,500
Promotional Take One
One piece, maximum size is 8.5” X 11”. Production and shipping are the responsibility of the
sponsor. Must be approved by FORE.
$2,000
Tote Bags (Exclusive Opportunity)
Provide meeting attendees with a tote bag with your company logo to carry their materials
throughout the conference. This item is available on a first come, first serve basis.
$500
Wi-Fi
Become the official internet sponsor of the course. This sponsorship provides free Wi-Fi
service to all conference attendees in the meeting space.
$3,000
Lanyards (Exclusive Opportunity)
All meeting attendees will receive a badge lanyard with YOUR company logo at
registration. Company to provide lanyards two weeks in advance of activity. This item is
available on a first come first serve basis
$750
Door Drop
Have your message delivered directly to course participants that are staying at the
conference hotel.
$750
Welcome Booklet Advertisement
Meeting attendees receive a course booklet with info of non-educational material such as
local restaurant ideas and things to do in town. This is a great opportunity to advertise your
company and show your support.
$500
Keycards (Exclusive Opportunity)
All meeting attendees will receive a room keycard with YOUR company logo at registration.
Company is to provide FORE with artwork for keycards no later than Monday, January 2,
2017. This item is availible on a first come first serve basis.
$2,000
Supplemental Badges
Supplemental Badges
Exhibitor/Industry badges allow exhibit floor and scientific session access.
$545
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Quick Exhibitor Reference
Venue
Hotel Park City
2001 Park Avenue
Park City, UT 84068
Reservation Phone: (435) 940-5035
Fax: (435) 604-1310
HotelParkCity.com
Accommodations
Special group rates of $379.00 for standard guestrooms, plus the current tax rate and
applicable resort fees are offered for our meeting dates. Please mention “Selby Spine
Conference” when booking your room to receive the group rate.
Please note the following hotel policies before booking:
• Hotel Park City has added a limited amount of rooms on the pre and post nights of
the conference that are based upon availability. If you would like to stay pre and post
conference dates and the nights you want are not available through the link, please
contact Cortney Christensen at cchristensen@hotelparkcity.com or (435) 940-5035.
• Hotel Park City has a 31-day cancellation policy. The cost of your entire stay will be
charged 31 days prior to your arrival, after which the entire stay is non-refundable. No
exceptions. (This includes pre and postdates, or changing the length of stay)
Here is the reservation link you can use to make online reservations: Book your group rate for
Selby Spine 2017
Confirmed exhibitors will receive a comprehensive Exhibitor Show Kit one month prior to the
event.
Important Dates
Exhibitor Application/Payment Deadline
Monday, January 2, 2017
Housing Closes
TBD
Exhibit Setup
Wednesday, February 1, 2017
Exhibit Teardown
Saturday, February 4, 2017
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20th ANNUAL SELBY SPINE CONFERENCE
APPLICATION
APPLICATION
100% of total support is due no later than Monday, December 26, 2016. If 100% of agreed-upon fee is
not received by Monday, December 19, 2016, the application is subject to cancellation.
Please complete and return this application no later than Monday, December 26, 2016 to Jonny
Rosado at jrosado@foreonline.org
CompanyCompany Contact
Contact EmailContact Number
Support Level
Platinum
Gold
$12,000
$8,000
Silver
Bronze
$6,500
$4,000
Exhibit Space
10’x10’
Single Table Top
$5,000
$3,000
Promotional Opportunities
Focus Group
Non CME Lunch and Learn
Welcome Reception Sponsorship
Branded Coffee Cups, Water Cups and Cocktail Napkins (Exclusive)
Promotional Take One
Tote Bags (Exclusive)
Wi-Fi
Lanyards (Exclusive)
Door Drop
Welcome Booklet Advertisement
Keycards (Exclusive)
$10,000
$8,000
$5,000
$2,500
$2,000
$1,000
$3,000
$750
$750
$500
$2,000
Supplemental Badges
Please specify the number of supplemental badges you will require, so that you may
be charged accordingly:
Quantity:
x $545 (per badge): $
8
20th ANNUAL SELBY SPINE CONFERENCE
APPLICATION
PAYMENT METHOD
Select payment method below:
Check payable to Foundation for Orthopaedic Research and Education
Mail To:
FORE
13020 Telecom Parkway N.
Tampa, Florida 33637
Credit Card
MasterCard
Visa
AMEX
Amount to be charged: $
Card Number
Expiration Date
CVV Code
Billing Address
CityState Zip
Name as It Appears on Card
Cardholder Signature
Phone
CANCELLATIONS AND REFUNDS
Booth cancellations must be received in writing by Monday, December 26, 2016 and are
subject to a $500 cancellation fee.
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ACCME Certificate
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W-9
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Certificate of Tax Exempt Status
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2016FrontiersinUpperExtremitySurgeryGrantRequest
12
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