Reserve Your Space. Please Fill out & Return This Form, with Your Check. Or If You Prefer

 REGISTRATION

Reserve your space. Please fill out & return this form, with your check. Or if you prefer, call in Credit Card number for booth payment.

Company______

Name______

Title______

Address______

City, State, Zip______

Telephone______

List the two names of your representatives who will staff your exhibit.

Name______

Address______

City, State, Zip______

Name______

Address______

City, State, Zip______

Electrical needed for exhibit?YN

If you are sponsoring a speaker at our Mid-Winter Meeting or Annual Convention & NMPhA does not plan to process a grant request from your organization, the fee is waived. However, you still need to send in this form!

Program Sponsoring:______

______

Mail or fax form, along with method of payment for $800 - $1300 to:

New Mexico Pharmacists Association

2716 San Pedro NE, Suite C

Albuquerque, NM 87110

Phone: (505) 265-8729Fax: (505) 255-8476

EXHIBIT INFORMATION

Exhibit Date:Saturday June 24, 2017

Hotel:Isleta Resort Phone: (505) 848-1999

If you require internet access, contact the NMPhA office. (There is an additional charge for this.)

Attendance:250 people expected

Profile of attendees: Attending are Pharmacists from all areas of practice as well as other healthcare professionals. Attendees include: Community Pharmacists; Independent Pharmacy Owners; Consultant Pharmacists; Chief Pharmacists; Hospital Pharmacists; Professors and Students from UNM College of Pharmacy; Pharmacist Clinicians; New Mexico Board of Pharmacy Members and Drug Inspectors and Staff; Certified Nurse Practitioners; Certified Nurse Midwives; Physician Assistants; Certified Pharmacy Technicians (CPhT); and Pharmacy Technicians.

Booth Size & Cost:EARLY BIRD by 5/26/178’ x 8’, pipe and drape @ $800

8’x 16’ @ $1200

LATE REGISTRATION after 6/1/17 8’x 8’ @ $900

8’x 16’ @ $1300

Booth Assigned:Upon receipt of your exhibit fee you will be listed as an exhibitor in our Annual Convention Program. Booth locations are assigned on a first-paid basis.

Setup Time:Saturday, June 24, 2017 from 9:00 am - 11:00 am

Exhibit Time:11:00 am - 2:00 pm

Breakdown:Directly following show at 2:00 pm

Drayage:TBD

Cost:$800 - $1300. If your company is sponsoring a speaker and NMPhA is not processing a grant request from your organization, the fee is waived. However, we still need the form.

Refund Policy:Up to three weeks prior to our Convention a refund, minus a $50.00 administration fee may be obtained. No refunds after Friday, June 16, 2017. No refunds for no shows!

Tax ID#:85-0096044

 GENERAL INFO

Join us for a fun filled weekend!

The weekend will start with the New Mexico Pharmacy Wholesalers’ Invitational Golf Tournament on Friday, June 23, 2017. The proceeds from the tournament go to the New Mexico Pharmaceutical Care Foundation (supporting UNMCollege of Pharmacy activities as well as other areas focusing on pharmaceutical care in New Mexico.)

The New Mexico Pharmacists Association is an accredited provider of continuing pharmacy education. Continuing education programs will be provided all day Saturday and Sunday and are not affiliated with the Golf Tournament.

The Isleta Resort is located south ofthe Albuquerque International Sunport. The Hotel is close to Old Town, Aquarium/Bio Park, the University of New Mexico, the Sandia Peak Tram, the Indian Pueblo Cultural Center, as well as may other points of interest.

Experience Southwestern Hospitality with members of the New Mexico Pharmacists Association! We welcome you as a part of our Annual Convention!

See you in June at our

88thAnnual Convention!

June 23 - 25, 2017

Isleta Resort

11000 Broadway SE

Albuquerque, NM 87105

(505) 848-1999/(877) 747-5382

Group Rate: ($119) sgl. or dbl.

2017 Annual Convention

Exhibit Registration &

Sponsorship Information

June 24, 2017

11am – 2pm

Isleta Resort

11000 Broadway SE

Albuquerque, NM 87105

(505) 848-1999/

(877) 747-5382