2010 Medic Update Vendor Registration
Company Information
Company Name:
Company Address: Suite:
City: State: Zip:
Company Phone Number: Ext.
Contact Person
First Name: Last Name:
Contact Phone Number: Ext.
Contact E-Mail:
Please include address that you would like the OEMTA Lifeline mailed to.
Address: City: State: Zip:
Vendor Packages
Bronze Package $750.00: Small Booth on vendor floor, Logo on Conference Brochure, 1/4 page Black and White add in Life Line, Link on OEMTA.Org, Free Wireless Internet at Conference, 2 Representatives included.
Silver Package$1000.00: Small Booth Space or 1 Ambulance on vendor floor, Logo on Conference Brochure, 1/2 page Black and White add in Life Line, Link on OEMTA.Org, Free Wireless Internet at Conference, Logo on Mini Conference Brochure, Materials in Attendee bags for conference, 3 Representatives included.
Gold Package $1500.00: Regular Booth Space or 1 Ambulance, Logo on Conference Brochure, 2/3 page Black and White add in Life Line, Link on OEMTA.Org, Free Wireless Internet at Conference, Logo on Mini Conference Bochure, Materials in Attendee bags for conference, Break Sponsor, Access to OEMTA Mailing List.
Platinum Package $2000.00: Large Booth Space or 2 Ambulances, Logo on Conference Brochure, Full Page Color add in Life Line, Link on OEMTA.Org, Free Wireless Internet at Conference, Logo on Mini Conference Bochure, Materials in Attendee bags for conference, Lunch Sponsor, Access to OEMTA Mailing List, Prime Booth Location.
Platinum Plus $4000.00: This includes the Platinum Package PLUS sponsorship of the OEMTA Awards Banquet and Lunch on Friday of the Conference.
* Vendors need to have their booths/displays set up by 4:00pm on Wednesday.
**There will be a $250.00 early tear-down fee charged for those vendors who wish to leave the vendor area before 12:00pm on Saturday. If you choose to tear-down early, you will only be able to do so after 5:00pm on Friday of the Conference.
Please check here if you wish to sponsor an Award at our Awards Banquet. Awards Sponsorship is included in all Vendor Packages except the Bronze Package. If you purchase a Bronze Vendor Package and would like to sponsor an award, there will be a $100.00 additional fee added to your package.
Payment Method
Purchase Order: PO Number
Credit Card (If you are paying by Credit Card, Please submit this form and go to our new Online Store link located at the top left side of the web page. (You will be redirected to a SECURE webpage for Credit Card Information)
Check or Money Order (If you are paying by Check or Money Order, Please print this form and mail with payment enclosed to: OEMTA, PO Box 864 Norman, OK 73070 or fax to 866.265.8980)
WE NOW ACCEPT ALL MAJOR CREDIT CARDS INCLUDING DEBT AND FEDERAL.
