Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 38 Page 39 Page 40 Page 41 Page 42 Page 43 Page 4442 Sponsorship Opportunities Emergin Alte Big Data Special Populations METHOD OF PAYMENT (check one): ❑ Check* (Payable to ACCP in US Dollars drawn on a US Bank) ❑ VISA ❑ American Express ❑ MasterCard ❑ Bank Transfer Cardholder name (print): __________________________________________________________________________ Card number: ______________________________________________ Expiration date: __________/____________ Authorized signature: _____________________________________________________________________________ Amount in US Dollars authorized to charge: ___________________________________________________________ For 2017 ACCP ANNUAL MEETING SUPPORT Please indicate the level of Sponsorship you would like to provide: ___Platinum ___Gold ___Silver ___Bronze Please indicate the specific item(s) you would like to Sponsor: ____________________________________________ Email this completed form to Exhibit@ACCP1.org *Checks should be mailed to ACCP, PO Box 1758, Ashburn, VA 20146-1758 BRONZE: Sponsor the ACCP Annual Meeting at the $2,500 Bronze Level and choose from one of the Bronze Sponsorship options noted below: MEETING BAG INSERTS – Include your company’s promotional materials in the Annual Meeting attendee tote bags. Price reflects one promotional piece and all materials must be provided to ACCP by August 31st . FULL COLOR AD INSIDE BACK COVER OF FINAL PROGRAM – Display your full color ad on the inside back cover of the Annual Meeting Final Program. ADDITIONAL OPTIONS FOR ADVERTISING IN ANNUAL MEETING FINAL PROGRAM Full Page – $1,500, Half Page – $750 and Quarter Page – $375 $2,500