38th NORTHEAST REGIONAL MEETING 2012

HOSTED BY THE ROCHESTER LOCAL SECTION

September 30 October 3, 2012
Radisson Hotel Rochester Riverside, Rochester, NY
Includes Maine, Vermont, Massachusetts, Rhode Island, Connecticut,
New Hampshire and New York (except New York City)
WWW.NERM2012.ORG

Exhibitor, Sponsor, and Advertiser Application

NAME AND TITLE:__________________________________________________________________________________
EMAIL ADDRESS:____________________________ PHONE NUMBER:______________________________________
COMPANY NAME:__________________________________________________________________________________
MAILING ADDRESS:________________________________________________________________________________
COMPANY WEB URL: ______________________________________________________________________________
PRIMARY SHOW REPRESENTATIVE:__________________________________________________________________
EMAIL ADDRESS:__________________________________________________________________________________
Brief company description of products and services as you would like it to appear in the meeting program and on the meeting
website (50 word limit)_______________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Exhibitor Registration
(Please add X to price box)
Type of Exhibitor

Dates

Extras

Fee

Commercial

September 30-October 3, 2012

2--Free Registrations

$900 (

Commercialno
representativeliterature only

September 30-October 3, 2012

None

$500 (

Academicnot for profit

September 30-October 3, 2012

1Free Registration

$450 (

Academicnot for profitno

representativeliterature only

September 30-October 3, 2012

None

$250 (

Educators Workshop only

September 30, 2012 only

2Free Registration to
Educators Workshop only

$350 (

Exhibitor areas include one six-foot table, two chairs, power, wireless internet access and free parking pending availability.
Name on Badge 1 _______________________________________________
Name on Badge 2 _______________________________________________
More information and payment on Page 3

100 Years of Creating a Better Future through Chemistry

Sponsorship, Sessions, Breaks and Lunch Seminars Registration

Opportunities

Extras

Price
(Please add X
to your price
box option)
$1000 (
)

Availability
(on first come
basis)

Two Half-Day Symposia or

General Sessions

Acknowledgement
with room placard

Half Day Symposium or

General Session

Acknowledgement
with room placard

$600 (

Check symposia and

sessions at
www.nerm2012.org

Coffee Break

Acknowledgement
with signage in break
area

$500 (

AM (Mon., Tues.,
Wed)
PM (Mon.)

100 Year Anniversary Ice

Cream Social for
Rochester, New Haven and
Maine ---3 sponsorships
available

Acknowledgement
with signage in
celebration area

$1000 (

List Your selection

Here from Availability

Check symposia and

sessions at
www.nerm2012.org

Tuesday from
3:00-3:30 pm

Not applicable

General Sponsorship Registration

(Your logo and link on the NERM website and program book acknowledgement)
Opportunities

Extras

Platinum Level
Gold Level
Silver Level
Bronze Level

Includes 10 Conference Registrations

Includes 5 Conference Registrations
Includes 2 Conference Registrations
None

Price
(Please add X to your price box option)
$2000 (
)
$1000 (
)
$500 (
)
$250 (
)

Name on Badge 1_____________________________________

Name on Badge 2_____________________________________
Name on Badge 3_____________________________________
Name on badge 4_____________________________________
Name on Badge 5_____________________________________
Name on badge 6_____________________________________
Name on badge 7_____________________________________
Name on Badge 8_____________________________________
Name on badge 9_____________________________________
Name on Badge 10____________________________________

More information and payment on Page 3

2

100 Years of Creating a Better Future through Chemistry

Advertising
Print (Program Book) advertising Options
(600 or more copies, according to registration)
Size

Dimensions (Allow for

margins)

Price

Selection (mark
with X)

Full page
Half page
Quarter page
Business card

8.5 w x 11 h
8.5 w x 5.5 h
4.25 x 5.5 h
3.5 w x 2 h

$500
$300
$150
$100 (free with
Exhibition rental if
printable ad copy
provided)

(
(
(
(

For more information:

Contact Ken Schlecht
College at Brockport, Chemistry Department,
350 New Campus Dr., Brockport, NY 14420
kschlech@brockport.edu
(585) 395-5585 (voice)

Total Cost

)
)
)
)

Exhibition Hours
Date

Day

Time

September 30, 2102

October 1, 2012
October 2, 2012
October 3, 2012

Sunday
Monday
Tuesday
Wednesday

1:00 pm-5:00 pm
8:00 am-5:00 pm
8:00 am-5:00 pm
8:00 am-12:00 pm

Payment

1-To pay by credit, go to www.PayPal.com and at the home page click on the "send
payment" tab and follow the instructions. At the "to: email address" type in this email
address (rjmur156@aol.com ). Follow directions. Mail completed application to Robert
Murray (see below) or email to rjmur156@aol.com.
2-To pay by check, address check to Rochester Section, ACS, NERM 2012
Committee
Mail check and completed application to: Robert Murray
115 Cuddy Ct
Webster, NY 14580
For all art work: Mail or email art work, PDF files and JPEG images
To: Jane Shebert
jsheber0@zimbra.naz.edu (0 is a number)
Chemistry Department
(585) 389-2578
Nazareth College of Rochester FAX (585) 389-2672
4245 East Avenue
Rochester, NY 14618

Exhibitor Total (p1)

Sponsor Total (p2)
Advertiser Total (p3)
Total Payment Due

$
$
$
$