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NCPDP 2016 Annual Technology & Business Conference Sponsor & Exhibitor Prospectus

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Page 1: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

NCPDP 2016 Annual Technology & Business ConferenceSponsor & Exhibitor Prospectus

Page 2: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues to be the foremost opportunity to meet face-to-face with the broadest group of healthcare industry stakeholders. It gives exhibitors, sponsors and advertisers unmatched networking, brand visibility and a platform for showcasing products and services.

Our 2016 Annual Technology & Business Conference theme, Vision in PRACTICE, celebrates a tradition of dedication and diligence in making our organization’s vision a reality. It captures the volunteerism of our members who share their expertise, listen and learn, and collaborate to find consensus-based solutions that are having a direct impact on improving the healthcare system and the patient experience.

Attendees come to NCPDP’s Annual Conference for cutting-edge, forward-thinking educational content, industry trends, and to learn how to leverage standards to prepare for the next wave of healthcare innovation.

Our conference attendees represent the range of industry segments including retail pharmacies, pharmacy benefit management companies, government agencies, pharmaceutical manufacturers, long-term care vendors and providers, database management organizations, healthcare consultants, wholesale drug distributors and more. We will once again welcome NDEDIC, our dental affiliate, which will co-locate its 2016 EDI Summit with our 2016 Annual Conference, giving conference attendees the opportunity to network with dental EDI professionals during the Solutions Marketplace, keynote and featured speaker sessions, and closing night Rendezvous networking event.

• Themed educational programming focused on the vision for a connected healthcare system that keeps patients safe and improves their health outcomes.

• Six Technical Track sessions and six Professional Track sessions, complete with Continuing Pharmacy Education (CPE) credits for pharmacists and pharmacy technicians.

• Candid discussion from industry thought leaders on new and innovative solutions in healthcare.

• Inspiration from keynote speaker, Rolf Benirschke, former San Diego Chargers place-kicker, and Chief Patient Officer and co-founder of Legacy Health Strategies. Rolf’s life is a story of courage, hope, faith and determination that demonstrates the power of the human spirit.

• Our Rendezvous networking event - a creatively themed, end-of-conference gathering where you can mingle with prospects, partners, and clients in a fun environment.

There’s so much to look forward to, so maximize your marketing exposure by reserving your sponsorship and exhibit space today! Contact Carrie Wynne, CMP, CMM at [email protected] or 480.477.1000, ext. 113, for additional information.

2016 Annual Conference Highlights:

Page 3: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

NCPDP provides many marketing and promotional opportunities for our annual conference sponsors and exhibitors, including sponsor logo or recognition in pre-conference promotional materials. Maximize your sponsorship ROI by signing up early! Production deadlines begin January 4, 2016.

Maximize Your NCPDP 2016 Marketing Opportunities

Designed to drive attendees to your booth in the Solutions Marketplace, the Passport Program is a great ice breaker. There is no charge to be included in the program. All you have to do is donate a prize of cash, products or services worth a minimum of $150. Prizes will be awarded on Monday, Tuesday and Wednesday. Attendees must be present to win.

Be a Passport Traveler!

The Welcome Bag Program places your promotional materials in the hands of more than 700 conference attendees. For $500, you can provide NCPDP with an item to be included in the bag distributed at the Westin Kierland Resort & Spa. If you are interested in participating, contact Carrie Wynne at [email protected].

Attendee Welcome Bag

. Academic Health Center

. Clinical/MTM/Formulary Management Org

. Compounding Pharmacy

. Consultant Pharmacist Services

. Consultant to Producer/Provider

. Hospice Pharmacy

. Hospital Pharmacy

. Inpatient Care Center

. Long-Term Care Pharmacy

. Mail Service Pharmacy

. Medical Equipment/Supplies

. Other Producer/Provider

. Outpatient Care Center

. Pharmaceutical Manufacturer

. Pharmacy Services Admin Org (PSAO)

. Physician Services Organization

. Prescription Consulting Entity

. Retail Pharmacy

. Specialty/Home Infusion PharmacyTotal for Category: 28%

Producer/Provider (Pink)

. Accountable Care Organization (ACO)

. Consultant to Payer/Processor

. Federal/State Agency

. Fiscal Agent/Intermediary

. Health Insurer

. Health Maintenance Organization

. Health Plan Sponsor

. Managed Care Organization

. Medication Therapy Management Admin

. Other Payer/Processor

. Pharmacy Benefit Management/ Admin Company. Transaction Processor (Rebates/Coupons). Workers’ Compensation OrgTotal for Category: 35%

Payer/Processor (Green)

. Academia/Research Foundation

. Automation/Robotics

. Clearinghouse

. Clinical Programs

. Consulting - General

. Data Management Vendor or Integrator

. Distribution/Packaging

. Drug Information Resource Company

. EHR/PHR Vendor

. Equipment/Product Supplier

. Federal/State Agency (non-payer)

. Health Information Exchange/ HIE Vendor/ Intermediary. Informatics/Data Analysis. Marketing/Educational Services. Network/Contract Management. Other Vendor/General Interest. Professional Services. Professional Trade Association. Software Vendor/Certifier. System Vendor. Wholesale Drug Distributor/RepackagerTotal for Category: 37%

Vendor/General Interest (Yellow)

* as of September 2015

Producer/Provider Payer/Processor Vendor/General Interest

Meet Decision Makers and Business Leaders Face-to-Face.More than 80% of NCPDP members are at the manager to executive levels.

Plan Meetings and Optimize Marketing Efforts.Access to the pre-conference attendee roster lets you set up meetings in advance and the post-conference attendee roster allows you to follow up after the conference. Your company will also gain exposure before and during the conference through printed and online promotional materials.

Showcase Your Products and Services. More than 300 companies participate in NCPDP’s Annual Conference!

Show Your Company’s Support of NCPDP.Help provide critical funding for standards development, and be a part of the go-toforum for addressing healthcare business and patient safety issues. Your clients and prospects value NCPDP, and your presence as a conference sponsor/exhibitor sends a positive message reinforcing your commitment to support NCPDP’s work.

Page 4: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

Work Group Meeting | Pre-ConferenceSunday, May 1, 2016 8:00 a.m. – 11:45 a.m. Work Group Meetings10:00 a.m. – 10:15 a.m. Refreshment Break11:45 a.m. – 1:00 p.m. Lunch (on own) | New Member Welcome Lunch**1:00 p.m. – 4:00 p.m. Work Group Meetings3:00 p.m. – 3:15 p.m. Refreshment Break4:00 p.m. – 5:30 p.m. MC Maintenance and Control6:30 p.m. – 9:30 p.m. President’s Leadership Appreciation Dinner**

Monday, May 2, 20167:00 a.m. – 8:00 a.m. CMS Medicare Part D and General Medicaid Discussion8:00 a.m. – 11:00 a.m. Work Group Meetings10:00 a.m. – 10:15 a.m. Refreshment Break11:00 a.m. – 12:30 p.m. User Group Luncheon**11:00 a.m. – 12:30 p.m. Lunch (on own)12:30 p.m. – 3:30 p.m. Work Group Meetings2:15 p.m. – 2:30 p.m. Refreshment Break3:30 p.m. – 5:00 p.m. MC Maintenance and Control

Annual ConferenceMonday, May 2, 20165:15 p.m. – 6:00 p.m. General Business Meeting6:00 p.m. – 8:00 p.m. Opening Reception - Solutions Marketplace (Passport Drawing)

Tuesday, May 3, 20166:30 a.m. – 6:00 p.m. Registration Open7:00 a.m. – 7:30 a.m. Breakfast7:30 a.m. – 9:30 a.m. Opening Session with Industry Thought Leaders9:45 a.m. – 10:45 a.m. Technical | Professional Track Sessions10:45 a.m. – 11:00 a.m. Refreshment Break11:00 a.m. – 12:00 p.m. Technical | Professional Track Sessions12:00 p.m. – 2:15 p.m. Awards and Recognition Luncheon with IMS Report2:30 p.m. – 4:30 p.m. Technical | Professional Track Sessions4:45 p.m. – 6:30 p.m. Solutions Marketplace (Passport Drawing) 6:30 p.m. – 8:00 p.m. NCPDP Foundation Pour***

Wednesday, May 4, 20167:00 a.m. – 4:30 p.m. Registration Open 7:30 a.m. – 8:00 a.m. Breakfast 8:00 a.m. – 9:00 a.m. Featured Speaker9:00 a.m. – 11:00 a.m. Solutions Marketplace (Passport Drawing) 10:45 a.m. – 11:00 a.m. Refreshment Break11:00 a.m. – 12:00 p.m. Technical | Professional Track Sessions 12:00 p.m. – 2:30 p.m. Passing of the Gavel Luncheon with Keynoter Rolf Benirschke2:30 p.m. – 3:30 p.m. Meet and Greet with Rolf Benirschke3:30 p.m. – 4:30 p.m. Technical | Professional Track Sessions4:45 p.m. – 5:45 p.m. Technical | Professional Track Sessions6:00 p.m. – 7:00 p.m. Sponsor Reception **7:00 p.m. – 10:00 p.m. Rendezvous Networking Event

* Conference schedule subject to change** By invitation only*** Additional fee

Rolf Benirschke had an illustrious 10-year career as the place-kicker for the San Diego Chargers before retiring as the third most accurate kicker in NFL history. He played in the Pro Bowl and received numerous awards including NFL Man of the Year, Comeback Player of the Year, NFL Player Association Hero of the Year, and the NFL’s most prestigious award, the Byron “Whizzer” White award. In 1997, Rolf became the 20th player inducted into the Chargers Hall of Fame.

During his second season, Rolf was struck with ulcerative colitis, an intestinal illness that required major abdominal surgery and nearly cost him his life. He returned to play for seven more seasons and created Great Comebacks, a patient support program that provides information and inspiration and has been connecting ostomy patients around the world for more than 30 years.

His experiences led him to co-found Legacy Health Strategies, a company that creates personalized patient support programs for medical device, pharmaceutical companies, and health systems. He is currently the Chief Patient Officer of Legacy Health Strategies. He has authored three books, including his autobiography, Alive & Kicking, and is a much sought-after motivational speaker. Rolf also devotes much of his time to numerous philanthropic organizations including the UCSD Health System, the Zoological Society of San Diego, the Crohn’s and Colitis Foundation of America, and the San Diego Blood Bank. He is also the chairman of the Rolf Benirschke Legacy Foundation. Rolf lives in Del Mar with his wife of 25 years, Mary and their four children, Erik, Kari, Tim and Ryann.

Register Today

Learn more about NCPDP’s 2016 Annual Technology & Business Conference!

www.ncpdp.org/ac/index.aspx

Page 5: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

Benefit BronzeSilverGold

3

4

2

3

1

2 1

Conference Registration

Sponsor Reception Invitation

Logo on Conference Sponsor Sign

Listing on Conference Sponsor Sign

Logo in Membership Communication

Logo on Promotional Brochure (PDF)

Pre- and Post- ConferenceAttendee Rosters

Link to Your Website fromConference Sponsor Web Page

Recognition During the Awards Luncheon

Logo in Pocket Guide

Listing in Pocket Guide

Sponsor Badge Ribbon forAll Company Attendees

Platinum

Page 6: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

NCPDP 2016 | Sponsorship Opportunities

Conference Polo ShirtYour organization’s logo will be featured on the official conference polo shirt that is provided to all attendees, giving you continued national exposure for years to come!

Wi-Fi Sponsorship As the conference Wi-Fi sponsor, your organization will be recognized as the provider of wireless high-speed Internet in all of the meeting rooms during the conference.

Conference BagThe conference bag is a necessity for all attendees. As the official sponsor, your logo will be featured on the front of the bag for all attendees to see and remember throughout the conference.

$30,000

$30,000

$20,000

Platinum Sponsorships

Conference Lanyards (Annual Sponsorship)Sponsor the event lanyards and let attendees do the advertising for you. The lanyards will be printed with your organization’s logo and distributed to all attendees at registration. The lanyards will also be distributed to attendees of the Educational Summit and quarterly work group meetings. This sponsorship hangs around all year!

$20,000

The Individual Member Excellence (TIME) AwardThe TIME Award honors an individual member of NCPDP who has generously devoted time and passion to the Council. As sponsor of this prestigious award, your organization will be recognized during the invitation-only President’s Leadership Appreciation Dinner.

$20,000

Acronym Dictionary (Annual Sponsorship)SPL, HIPAA, PDQ, LTC, – acronyms can be so confusing. As the sponsor of the acronym dictionary, you will be providing your colleagues with a valuable and popular resource. All attendees will receive a copy at the conference, and one will be sent to each new NCPDP member throughout the year. It will also be handed out at trade shows and industry meetings. Your organization’s logo will be featured on the cover of the print version and on the website page of the online version for a full year.

$15,000

Breakfast with Industry Thought Leaders (Tuesday)Show attendees your thought leadership in healthcare. As the sponsor of the opening breakfast and the industry panel, your organization will be recognized at the event and have the privilege of introducing the panelists.

Breakfast with Featured Speaker (Wednesday)As the sponsor of the Wednesday featured speaker breakfast, your organization will be recognized at the event and have the privilege of introducing the speaker.

$15,000

Conference Website As the exclusive sponsor of the NCPDP Annual Technology & Business Conference website, your company will receive the ultimate in exposure. Your logo will be displayed in a highly visible location on every page of the conference site. By sponsoring the website, your company will be recognized each time an attendee visits the site to get the latest conference information.

Flash DriveJoin our “paper-lite” effort and sponsor the conference flash drives. Every attendee will receive a flash drive containing track session presentations, conference materials and a promotion from your organization.

Foundation PourAs the sponsor of the NCPDP Foundation Pour, your organization will be recognized for supporting this event to fund research and education that moves us closer to a connected healthcare system.

HatsHats off to the sponsor of our conference caps. The caps, featuring your embroidered logo, will provide cover from the bright Arizona sunshine, while giving your brand high visibility during and after the conference.

Luncheon with IMS Market Trends Report (Tuesday)As the sponsor of the luncheon and featured speaker, your organization will be recognized at the event and have the privilege of introducing the speaker.

Luncheon with Keynote Rolf Benirschke (Wednesday)As the sponsor of the Wednesday luncheon and keynote speaker, your organization will be recognized at the event and have the privilege of introducing the speaker.

Portable Battery Charger Power BanksAs sponsor of this sought-after item, attendees will remember your organization when their smart phones, tablets or other chargeable devices get a needed boost from these handy portable chargers, branded with your logo.

NEW! Registration Video WallNew this year is an engaging opportunity for your organization to design a moving or static image to be displayed on the video wall in the high traffic registration area! Your sponsorship dollars will be well spent as attendees marvel at your video design as it alternates with the conference theme image!

Solutions Marketplace Opening ReceptionConference attendees rate networking opportunities as the number one reason to attend. Establish your organization as an industry leader by sponsoring the opening reception in the Solutions Marketplace. Attendees enjoy schmoozing and snacking while checking out the latest business solutions.

Wall MuralYour company’s message will be prominently displayed throughout the conference on a large wall mural in a high traffic area for all attendees to see.

$15,000

$15,000

$15,000

$15,000

$15,000

$15,000

$15,000

$15,000

$15,000

$15,000

$15,000

Page 7: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

Gold Sponsorships“Key to Success”Your “key to success” is locked in as sponsor of the resort room key cards. With more than 700 attendees opening and closing their doors daily, there is no way attendees will miss your organization’s logo and personalized message.

PortfolioAttendees will take note of your organization as sponsor of the embossed portfolio that each will take home from the conference.

Solutions Marketplace Refreshments (two available)Treat all attendees to refreshments in the Solutions Marketplace during exhibit hours. Choose from a selection of ice cream, smoothies, coffee, fresh fruit, popcorn, cookies or chips.

Stepping Stone AdvertisingThese unique advertisements are strategically positioned to draw attention, create brand recognition, and ultimately lead attendees to your products and services.

RendezvousYour organization will command attention at this high-energy, engaging event, which is also the final event of the conference. Rendezvous provides a fun-filled, last chance opportunity to munch and mingle with prospects, partners and clients.

$10,000

$10,000

$10,000

$10,000

$10,000

Silver SponsorshipsAttendee Welcome BagShowcase your logo on the reusable welcome bag distributed to conference attendees. The bag will include items contributed by participating organizations.

Boarding Pass KioskSponsor the boarding pass kiosk to give conference attendees the ultimate convenience of printing their boarding passes in the Solutions Marketplace, saving everyone valuable time on the return trip home.

$7,500

$7,500

Upgrade to Platinum Level Annual Sponsorship!As the annual sponsor of the Boarding Pass Kiosk, your organization will broaden its reach beyond Annual Conference, and get additional exposure with attendees at quarterly work group meetings and the Educational Summit.

$15,000

Daily Schedule of Events EmailThis exclusive sponsorship is a time-saver and a nighttime reminder of the next day’s activities. At the conclusion of each business day, an email will be sent to all attendees with the next day’s schedule of events. By sponsoring this high-profile opportunity, your company will be recognized each time attendees view the email to plan their busy days.

Door WrapsThis impressive opportunity commands attention with its can’t-miss location on the inside of the entry doors to the general session room. All we can say about the ROI on this preferred sponsorship is, “That’s a Wrap!”

Educational Track Refreshment Break (per break, two available)Have your logo on display at a prime networking location. Energize conference attendees by providing refreshing beverages during one of the breaks.

Welcome Refreshments (per day, available Monday-Wednesday) Start everyone’s day off right with a fresh glass of orange juice or a jolt of java by providing an early morning beverage at the conference registration area! For an additional fee, add your logo to cups and/or napkins.

$7,500

$5,000

$5,000

$5,000

$5,000

Bronze Sponsorships

“Have Passport, Will Travel” Get great marketing mileage as sponsor of the popular Passport Program. Conference attendees will receive an official Passport in the exhibit hall and obtain stamps from the participating exhibitors to be eligible for the Passport Program prize giveaways.

Massage Station (two available)Rub attendees the right way as sponsor of a Solutions Marketplace massage station. This is always a favorite with conference attendees!

Educational Track Sessions (per session)Show your support of educational programming by sponsoring a Technical or Professional track session on a topic that is important to your organization. Your sponsorship includes signage, a sponsor slide, website recognition, and acknowledgment during the track session.

“Write On” Put your logo in everyone’s hands when you sponsor the conference writing instrument that is included in all of the conference bags.

$3,500

$3,500

$2,500

$2,500

Name Your Own SponsorshipWork directly with the NCPDP marketing team to create a unique sponsorship opportunity that meets the needs of your company. We are excited to work with you in this special sponsorship category!

$TBDInsulated Beverage ContainerAs the sponsor of the insulated beverage container, you will be helping attendees enjoy their coffee or drink their 8 or 10 glasses of water a day. It is a dry heat!

Pocket GuideThis handy little pocket guide is a quick reference to the daily activities taking place at the conference. Your company logo will be strategically placed for maximum brand building and recognition.

$7,500

Page 8: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

Exciting New Floor plan!NCPDP’s Solutions Marketplace has rearranged the exhibitor floor plan to give exhibitors more opportunity to interact with prospects and showcase their products and services to the leaders and decision-makers in pharmacy and healthcare. To get the best selection of booth locations, be sure to secure your exhibit space today!

The 2016 Solutions Marketplace will once again include a dental row featuring members and exhibitors of our NDEDIC affiliate. The combined marketplace will give you an unprecedented opportunity to connect with attendees, network with clients and friends, and make a lasting impression with new contacts.

Reserve your space today!Your Exhibitor Fee Includes:

• One complimentary full conference registration• Pre- and post-conference attendee registration lists • Link to your website from the annual conference exhibitor web page • Listing in the Pocket Guide• One standard booth space consisting of an 8’ back drape and 3’ draped side rails• Standard booth sign displaying your company name and booth number• Carpet throughout the Solutions Marketplace• 24-hour security provided throughout the duration of the conference• Company PowerPoint slide to be shown before general session presentations

Exhibit Booth Dimensions Available:

NCPDP 2016 | Solutions Marketplace

10’ X 10’ = $2,995 10’ X 20’ = $4,195

Solutions Marketplace Move In/Out:* Exhibitor Move In on Monday, May 2, 2016: 8:00 a.m. to 4:30 p.m. Exhibitor Move Out on Wednesday, May 4, 2016: 11:30 a.m. to 2:30 p.m.

Hours Open to Attendees:* Monday, May 2, 2016: 6:00 p.m. to 8:00 p.m. Scheduled activities include: Opening Reception, Passport Drawing

Tuesday, May 3, 2016: 4:45 p.m. to 6:30 p.m. Scheduled activities include: Passport Drawing

Wednesday, May 4, 2016: 9:00 a.m. to 11:00 a.m. Scheduled activities include: Passport Drawing

CSI is the official show decorator of the NCPDP Annual Technology & Business Conference. CSI will publish the online Service Manual. Exhibitors must adhere to the rules contained in the online Service Manual regarding set-up, tear down, exhibit space, etc.

* Hours subject to change.

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ENTRANCE

Westin Kierland Resort & SpaHerberger Ballroom

NCPDP 201

Annual Technology & Business Conference

Exhibitor Application M

ay | W

estin Kierland Resort & Spa | Scott

sdale, AZ

Nam

e ________________________________________________________________________________

Title ________________________________________________________________________________

Company ____________________________________________________________________________

Address _____________________________________________________________________________

City _________________________ State ________________

Zip __________ _____________

Offi

ce Phone _____________________________________ Cell Phone _______________________

E-mail ______________________

Company W

ebsite ____________________________________

$2,95

Booth Selection

10’ X 10’ (includes (1) complim

entary full registration):

10’ X 20’ (includes (1) complim

entary full registration): $

,95

□Include logo on conference w

ebsite $200

□ $

00□

Participation in Passport Program (m

ust send a $150 item to address below

by April 2016)

Booth number preference(s): ____________________________________________________________

Competitors to avoid: __________________________________________________________________

Terms and Conditions

1.Exhibit space is on a “first

come, first

serve” basis. Location assignments w

ill be made at the sole discretion of N

CPDP.In addition, N

CPDP will m

ake every effort to keep competitors properly spaced.

2.N

CPDP will reserve your designated booth for a m

aximum

of 45 days without paym

ent. If deposit or payment in full is not

received within 45 days of your application subm

ission, NCPDP reserves the right to release the space for resale.

3.Exhibitors shall have the right to cancel this agreem

ent by writt

en notice to NCPDP. Exhibitors cancelling space prior to

Novem

ber 26, 2015 will receive a 50%

refund, less a $100 administrative processing fee. N

O REFU

NDS w

ill be made on space

cancelled after Novem

ber 26, 2015.4.

CSI is the official show

decorator of the NCPDP 2016 Annual Conference. A representative from

CSI will be in contact w

ith the person(s) designated above . Exhibitors m

ust adhere to the rules contained in the Service Manual regarding set-up, tear

down, exhibit space, etc.

Payment (all fees are payable in U

.S. funds drawn on U

.S. banks)

□Credit Card (Visa, M

C, or AMEX) □ Check (payable to N

CPDP) □ Send invoice □ ACH*

Nam

e (as it appears on card) _____________________________________________________________

Debit/Credit Card Num

ber _________________________________ Expiration Date _____________

Card Verification Code/CVV _________________________________ Visa and M

C: CVV is the last 3-digits on the signature area of your debit/credit card. AMEX: CVV is the 4-digit num

ber above the embossed nam

e on the front of the card.

Billing Address _________________________________________________________________________

City ________________________ State __________________

Zip _______________________

*Transactions greater than $5,000 must be subm

itted by check or ACH only. Contact N

CPDP to obtain account instructions.

Remit by m

ail: NCPDP, Brian Goerlich, 9240 East Raintree Drive, Scott

sdale, Arizona 85260 Em

ail: [email protected] Fax: 480

2227555

EN

TR

AN

CE

Page 9: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

NCPDP 201

Annual Technology & Business Conference

Exhibitor Application M

ay | W

estin Kierland Resort & Spa | Scott

sdale, AZ

Nam

e ________________________________________________________________________________

Title ________________________________________________________________________________

Company ____________________________________________________________________________

Address _____________________________________________________________________________

City _________________________ State ________________

Zip __________ _____________

Offi

ce Phone _____________________________________ Cell Phone _______________________

E-mail ______________________

Company W

ebsite ____________________________________

$2,95

Booth Selection

10’ X 10’ (includes (1) complim

entary full registration):

10’ X 20’ (includes (1) complim

entary full registration): $

,95

□Include logo on conference w

ebsite $200

□ $

00□

Participation in Passport Program (m

ust send a $150 item to address below

by April 2016)

Booth number preference(s): ____________________________________________________________

Competitors to avoid: __________________________________________________________________

Terms and Conditions

1.Exhibit space is on a “first

come, first

serve” basis. Location assignments w

ill be made at the sole discretion of N

CPDP.In addition, N

CPDP will m

ake every effort to keep competitors properly spaced.

2.N

CPDP will reserve your designated booth for a m

aximum

of 45 days without paym

ent. If deposit or payment in full is not

received within 45 days of your application subm

ission, NCPDP reserves the right to release the space for resale.

3.Exhibitors shall have the right to cancel this agreem

ent by writt

en notice to NCPDP. Exhibitors cancelling space prior to

Novem

ber 26, 2015 will receive a 50%

refund, less a $100 administrative processing fee. N

O REFU

NDS w

ill be made on space

cancelled after Novem

ber 26, 2015.4.

CSI is the official show

decorator of the NCPDP 2016 Annual Conference. A representative from

CSI will be in contact w

ith the person(s) designated above . Exhibitors m

ust adhere to the rules contained in the Service Manual regarding set-up, tear

down, exhibit space, etc.

Payment (all fees are payable in U

.S. funds drawn on U

.S. banks)

□Credit Card (Visa, M

C, or AMEX) □ Check (payable to N

CPDP) □ Send invoice □ ACH*

Nam

e (as it appears on card) _____________________________________________________________

Debit/Credit Card Num

ber _________________________________ Expiration Date _____________

Card Verification Code/CVV _________________________________ Visa and M

C: CVV is the last 3-digits on the signature area of your debit/credit card. AMEX: CVV is the 4-digit num

ber above the embossed nam

e on the front of the card.

Billing Address _________________________________________________________________________

City ________________________ State __________________

Zip _______________________

*Transactions greater than $5,000 must be subm

itted by check or ACH only. Contact N

CPDP to obtain account instructions.

Remit by m

ail: NCPDP, Brian Goerlich, 9240 East Raintree Drive, Scott

sdale, Arizona 85260 Em

ail: [email protected] Fax: 480

2227555

Page 10: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

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Page 11: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

We are excited to return to the Westin Kierland Resort & Spa this year, a venue with virtually every accommodation from a full-service spa and championship golf to award-winning dining and upscale shopping. This resort, located in the heart of “new” Scottsdale, will fill you with a sense of old Arizona and delight you with a fresh, modern destination. The resort’s “Essence of Arizona” theme is celebrated daily with its “Scottish Pipes at Sunset Series,” an original tribute to the Scottish immigrants who contributed to the development of Arizona’s railroads, mines and towns. Annual conference attendees and their families are encouraged to gather around the fire pit in Dreamweaver’s Canyon at sunset to enjoy the beautiful and traditional sounds of the Scottish Bagpipes with Michael McClanathan.

There is so much to look forward to at this year’s Annual Conference, so make your reservations today. Reference NCPDP Annual Conference to secure the discounted rate of $249, which includes high speed internet access in guest rooms. This discounted room rate is available while supplies last and must be booked by March 29, 2016. Reservations must be made by phone at 480.624.1202 or 800.354.5892.

Hotel suites are available to sponsoring organizations at the Silver level and above. Hotel suites are available on a first-come, first-serve basis with limited availability. If you are interested in reserving a suite, please contact Carrie Wynne, CMP, CMM at [email protected].

Westin Kierland Resort & Spa | May 2 - 4, 2016

Vision in PRACTICE

Page 12: NCPDP 2016 Annual Technology & Business …Join NCPDP May 2 - 4, 2016 at the Westin Kierland Resort & Spa for our Annual Technology & Business Conference. This annual conference continues

National Council for Prescription Drug Programs9240 East Raintree Drive, Scottsdale, AZ 85260

480.477.1000 | www.ncpdp.org© 2015 by NCPDP. All rights reserved