APNA 29th Annual Conference October 28-31, 2015 │ Lake Buena Vista, FL CONFERENCE TOTE BAG INSERT APPLICATION

As psychiatric nurses check-in to the APNA conference, your company’s sales and promotional literature can be awaiting them in their registration packets, alerting them to your products and services and encouraging them to visit your booth. Include your marketing or promotional information in the conference tote bag received by all of the APNA 29th Annual Conference attendees.

The cost to participate in the Tote Bag Insert Program is $1,000 for one piece or $1,300 for two pieces. Reserve a spot for your company by October 7, 2015. Confirmation and shipping information will be provided. The Tote Bag Insert program is available to exhibiting companies only.

Tote Bag Insert materials may be no larger than 8 ½” x 11”.

A sample of the tote bag insert must be emailed to [email protected] for approval by October 7, 2015. Cancellations received prior to September 4, 2015 will be eligible for a 50% refund. No refunds will be made for cancellations received after September 4, 2015.

Number of Tote Bag Inserts ______Total Payment $______

1. Please enclose payment in the form of a check or credit card, drawn on a U.S. bank, in U.S. funds, made payable to “APNA.” Tax ID No. 22-2814679.

2. Application, payment and tote bag insert sample must be received by October 7, 2015.

Exhibiting Organization ______Booth # ______Address ______City______State ______Zip ______Phone ______Email ______Signature ______Date ______

Payment Method: Check │ Credit Card │ Other (Circle one) Payment Amount $______Card Number ______Expiration Date (MM/YYYY)______Name on Card______Billing Address (If Different Than Above) ______

Please do not ship to the address above. Shipping instructions will follow.