EXHIBITOR and SPONSORSHIP INFORMATION SCIENTIFIC MEETING Advances and Innovations in Research Collaboration for Fragile X, Autism and Sex Chromosome Variations: Working Toward Patient-Centered Outcomes A collaboration between patients, families, clinicians and scientists that will result in actionable outcomes such as improving communication and care at home, in clinical and school/employment settings. http://www.nursing.emory.edu/pcori August 11-13th 2016 Emory Conference Center Hotel In Town, In Nature, Inviting You Atlanta, GA http://www.emoryconferencecenter.com/ Your opportunity to elevate your brand with professionals from: Emory University The Marcus Autism Center, Atlanta University of Colorado Columbia University Thomas Jefferson University Stanford University Geisinger Institute Greenwood Genetics Center University of Virginia Drexel University NIH/NICHD NIH/NIMH PCORI This is a truly unprecedented event, and it may be the only opportunity to reach this unique audience assembled in one place. Meeting attendees will include: Researchers Clinicians Multidisciplinary Clinic Directors and Staff Patient Advocates Patient Caregivers Patients Research Funders Nell Hodgson Woodruff School of Nursing Principal Investigator: Sharron Close, PhD, MS, CPNP-PC Co-Investigators: Kristy Martyn, PhD, RN, CPNP-PC, FNP-BC, FAAN Jim Moore, Patient Advocate Research Assistants: Amy Blumling, RN, BSN Heather Wiles, MMSC PCORI approved funding for this project. Eugene Washington PCORI Engagement Awards seek to help develop a skilled community of patients and other stakeholders from across the entire healthcare enterprise and involving them meaningfully in every aspect of PCORI’s work. http://bit.ly/1idIgtt #PCORI EXHIBITOR and SPONSORSHIP INFORMATION Advances and Innovations in Research Collaboration for Fragile X, Autism and Sex Chromosome Variations: Working Toward Patient-Centered Outcomes Sponsorship Opportunities Available at levels to fit every budget: Conference Partner $20,000 Free Ceiling Banner & Exhibit Table ** Back or Inside Front Cover Ad Conference Findings Publication and Distribution Sponsor $10,000 Free Ceiling Banner & Exhibit Table ** Full Page Ad—Centerfold Welcome Reception Sponsor $7,500 Free Ceiling Banner & Exhibit Table ** Full Page Ad—Centerfold Friday Breakfast Sponsor $2,500 Free Ceiling Banner & Exhibit Table ** Half-Page Ad Friday Breaks Sponsor $5,000 Free Ceiling Banner & Exhibit Table ** Full Page Ad Friday Lunch Sponsor $5,000 Free Ceiling Banner & Exhibit Table ** Full Page Ad Friday Dinner Sponsor $10,000 Free Ceiling Banner & Exhibit Table ** Back or Inside Front Cover Ad ## Saturday Breakfast Sponsor $5,000 Free Ceiling Banner & Exhibit Table ** Full Page Ad Saturday Breaks Sponsor $2,500 Free Ceiling Banner & Exhibit Table ** Half-Page Ad Saturday Lunch Sponsor $5,000 Free Ceiling Banner & Exhibit Table ** Full Page Ad Conference Exhibitor $1000 Ceiling Banner & Exhibit Table ** 1/4 Page Ad Emory Conference Center Hotel Sponsor attendance at the event is optional. We would be happy to setup your banner and table and display any items you ship to us. Contact Jim Moore for details: [email protected]. ** Note: The unique venue cannot accommodate traditional exhibits. Sponsors will be able to hang a ceiling banner and exhibit on a 6’ table skirted with a banner or corporate logo around the perimeter of the room. ## Conference Partner has first choice of ad position. More on the Emory Conference Center Hotel: Maps & Directions: http://bit.ly/Emory-Maps Rooms: http://bit.ly/Emory-Rooms Amenities: http://bit.ly/Emory-Amenities Dining: http://bit.ly/Emory-Dining Meeting Space: http://bit.ly/Emory-Meeting-Space Area Guide: http://bit.ly/Emory-Area-Guide EXHIBITOR and SPONSORSHIP INFORMATION EXHIBITOR REGISTRATION FORM PLEASE PRINT OR TYPE: Contact Person: _____________________________________________________________________________ Name(s) of all exhibitors attending the event: _____________________________________________________ ______________________________________________________________________________________________ Business/ Agency Name: Address: _______________________________________________________________________ ____________________________________________________________________________________ City: _________________________________________________________ ST: _____ ZIP: Phone: _________________________________________ FAX (optional): E-mail: _______________ ______________________________ _____________________________________________________________________________________ Website: ____________________________________________________________________________________ Meals on both days will be provided for up to two exhibitors. Meals for additional exhibitors are $120/person. Please make your check payable to: Emory University and enter “for PCORI FE 892-EU sponsorship” in the memo field or contact [email protected] to arrange credit card payment over the phone. Partner/Sponsor/Exhibitor Fee: Check your choices below and enter amounts in the dollars column. Total all selections. Partner $20,000 $__________ Findings Publication & Distribution Sponsor $10,000 $__________ Welcome Reception Sponsor $7500 $__________ Friday Breakfast Sponsor $5000 $__________ Friday Breaks Sponsor $2500 $__________ Friday Lunch Sponsor $5000 $__________ $10,000 $__________ Saturday Breakfast Sponsor $5000 $__________ Saturday Breaks Sponsor $2500 $__________ Saturday Lunch Sponsor $5000 $__________ Exhibitor $1000 $__________ Friday Evening Dinner Sponsor Additional Exhibitor Meal Packages #_____ $120 each $__________ Program Advertiser Fee: Full Page $500 $__________ Half Page $250 $__________ Quarter Page $125 $__________ TOTAL $__________ CHECK ENCLOSED WILL CALL WITH CREDIT CARD MAIL form and check to: Emory University: Science & Family Project c/o Sharron Close, PhD 1520 Clifton Road NE #434 Atlanta, GA 30322 Email scanned form to [email protected] and call 303-400-3456 to make credit card payment. Stakeholder Roster* Sharron Close, PI Amy Talboy, Dev Peds Kristy Martyn, Co-I David Marcus, FXS, SCA Jim Moore, Co-I Gary Bassell, PhD, Neuroimaging Amy Blumling, Team Celine Saulnier, PhD, Dir Research Operations, MAC, Autism Heather Wiles, Team Gordon Ramsay, PhD, Dir Spoken Comm Lab MAC, Autism Renee Beauregard, Ambassador Chris Gunter, PhD, Dir Comm Perations MAC, Autism Kyle Rupe, Ambassador Sarah Shultz, PhD, Co-Dir neuroimaging Core, MAC, Autism Stefan Schwarz, Ambassador Warren Jones. PhD, Eyetracking, MAC, Autism Donna Pouliot, Ambassador Ami Klin PhD, Director, MAC, Autism Anita Chambers, Ambassador Michael Zwick. PhD, SOM, Dept. Human Genetics, Molecular Genetics Dalene Basden, Ambassador Michael Gambello. MD, PhD, SOM, Dept. Human Genetics, Tuberous Sclerosis Kimberley Daly-Smith, Ambassador Joe Cubbells, MD. PhD, SOM, Dept. Human Genetics, Molecular genetic factors in developmental behavioral disorders incl autism, schiz and autism Andre Lorek, Ambassador Larry Rakowski, Ambassador Andrea Wilczynski, Ambassador Uldis Silgailis, Ambassador Rita Thrash, Ambassador Kellie Karasko, Ambassador Virginia Cover, Social Work Nicole Tartaglia, MD, Dev Peds Shanlee Davis, MD, Dev Peds Susan Howell. MS, CGC, GC Karen Riley, PhD, Psych/FXS Richard Boada, PhD, Psych Nancy Raitano Lee, Psychology Al Rogol, MD, Peds Endocrine Ilene Fennoy. MD, MPH, Peds Endocrine Judy Ross. MD, Brenda Finucane, MS, LGC, Walter Kaufmann, Jonathan Blumenthal, MA, NIMH, Psych/Brain Dana T. Zavatkay PhD, BCBA-D, Program Mgr. School Consultation Program Christine Hall, PhD, Dir Clinical Assessments and Diagnostics Cheryl Klaiman, PhD, FXS worked with Alan Reiss Nathan A Call PhD, BCBA-D, Severe Behavior Karen Bearss PhD, Parenting Interventions Chip Heath. PhD, Keynote Speaker Peter Topping, Michael Sacks, Rick Gilkey, Facilitator Jeannie Visootsak, MD, Lisa Demers, Myra Byrd, Chair AXYS BOD Gary Glissman, Vice Chair AXYS BOD Sheila Clark, Secretary AXYS BOD Kevin Schindler, Treasurer AXYS BOD Tom Clephane, AXYS BOD Sandy Schindler, AXYS BOD Robby Miller, Managing Consultant AXYS BOD Armin Raznahan, PhD, NIMH, Psych/Brain Audrey Thurm, PhD, Psych/Brain Robert Heinssen, PhD, IDD David Hickham, PCORI CER Lia Hotchkiss, PCORI Prog O Alan Reiss, MD, PhD, Psych Sophie van Rijn, Neuropsych/Beh Lobby: Emory Conference Center Hotel Grayson Norquist, MD, PhD, PCORI Stephanie Sherman, Down & Fragile X syndrome * Scheduled to appear—subject to change without notice. PCORI approved funding for this project. Eugene Washington PCORI Engagement Awards seek to help develop a skilled community of patients and other stakeholders from across the entire healthcare enterprise and involving them meaningfully in every aspect of PCORI’s work. http://bit.ly/1idIgtt #PCORI
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