West Virginia Society for Respiratory Care

West Virginia Society for Respiratory Care

West Virginia Society for Respiratory Care

Conference Exhibitor Registration Form

The West Virginia Society for Respiratory Care is sponsoring the Annual Winter Conference on Thursday, February 1, and Friday, February 2, 2018, to be held at Canaan Valley Resort & Conference Center, Davis, WV.

The conference is marketed to Respiratory Therapists, Nurses and other healthcare providers in hospitals, home care, sleep lab, durable medical equipment, rehabilitation and education. The purpose of the conference is to provide new information pertinent to the health care profession.

We are also having a networking event this year during the conference to engage directors from around the state to discuss the ever-changing healthcare arena.

An essential component of a continuing education program are exhibits that enable participants to gain first-hand information on state of the art technology, therapy, medications, publications, software and employment opportunities.

Our conference planning committee has identified your organization as one that would be of interest to the targeted audience. We expect approximately 100 attendees at this conference. Exhibits are open throughout the conference with scheduled times during the conference for participants to visit the exhibit hall.

Attached is a vendor registration form. We allow 2 staff for each vendor to be included in the cost. Additionally, staff can attend the lectures and receive CRCEs approved by the AARC. A brochure and agenda will be provided prior to the meeting posted on our website, We look forward to hearing from you and hope you will be able to participate.

If you have any questions or need additional information please contact Cynthia Keely at 304-549-0296 or e-mail at , or Stephanie Stanley at 304-688-8799 or via email at .


Cynthia A. Keely, BA, RRT, LRTR

West Virginia Society for Respiratory Care, President


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(Tax ID # 55-0686969)


Company Name ______

Contact Name______


City, State, Zip______

Phone (cell): ______Email: ______

1)Vendor Display $600.00(includes two representatives and select meals included at the conference )

Company Representatives Names: 1.) ______

2.) ______

2) Unrestricted Education Grant $______

3)Speaker Sponsor Name ______

Topic ______

4) Other ______

Please list electrical or other needs that you will have in the exhibit area:


SPECIAL EVENT SPONSORSHIP: We could not make this event possible without the support of our vendors and special event sponsors. Please show your support by signing up for one or more of the special events listed below. By doing so, you will receive special recognition during the conference. Please also provide a gif, jpeg, orpng file of your company’s logo to be added to printed and electronic recognition during the event.

____Registration -- $300 - company logo displayed at the registration desk and verbal recognition

____Breakfast -- $500 – company logo displayed in the breakfast area and verbal recognition

____Day 1 Refreshment Break AM- $300– company logo displayed in the break area and verbal recognition

____Welcome Networking Event - $1,000– company logo displayed, verbal recognition throughout conference

____Day 2 Refreshment Break AM- $300– company logo displayed in the break area and verbal recognition

Please Make Check Payable to: WVSRC Send Check To:Cynthia Keely


1027 Valley Road

Charleston, WV 25302

For more information contact: Cynthia Keely at 304-549-0296 or at or contact a member of the WVSRC Board of Directors or Conference Planning Committee.