Minnesota Society of Health-System Pharmacists s3

MSHP CORPORATE BUSINESS PARTNERSHIP PROGRAM MSHP 2018 Corporate Business Partnership Program Benefits Package

The mission of the Minnesota Society of Health-System Pharmacists is to help people achieve optimal health outcomes through support and advancement of the professional practice of pharmacy. Our membership includes over 1,000 practicing pharmacists, technicians, students and industry professionals from hospital practice, managed care, ambulatory care, home health care, long-term care, industry and other organized health-system settings. As an organization, MSHP develops and enhances standards of patient care and improves pharmacist knowledge and skills.

CORPORATE BUSINESS PARTNERSHIP LEVELS:

Platinum Plus: $6,000 12-month program entitles you to the following benefits:  Participation in the 2018 Reverse Expo held on April 19, 2018 at MSHP’s Annual Conference. There are a maximum number of 15 vendors that are allowed to participate in the Reverse Expo. First priority is given to the Corporate Business Partners on a first-come, first-serve basis, and the deadline date to submit the application is January 15, 2018.  One-page complimentary meeting folder advertisement for the Annual Conference, Pharmacy Technician Conference and the Midyear Clinical Meeting.  Invitation for up to two representatives from your organization to attend MSHP’s 2018 Leadership Retreat dinner scheduled for June 12, 2018.  Minnesota Night Reception (held in conjunction with ASHP’s Midyear Clinical Meeting) o Special recognition as a Minnesota Night Sponsor on MSHP’s website in the “Corporate Business Partners” and the “Events/Continuing Education” tabs o Special recognition on Minnesota Night invitation and messages to MSHP’s members o Special recognition at Minnesota Night Reception  Six associate memberships to MSHP (associate members receive publications and general communications of MSHP and have access to the “Members Only” section on MSHP’s website)  Complimentary job postings for one year on MSHP’s website in the “Career Center” section  Complimentary listing and link of your company on MSHP’s website in the “Corporate Business Partners” section and in the “Events/Continuing Education” section for the Annual Conference, Pharmacy Technician Conference and Midyear Clinical Meeting  Invitation to MSHP’s Affiliated Regional Societies meetings (MSHP-Arrowhead, MSHP-Central, MSHP-Heartland, MSHP-Northwestern and MSHP-Southern)  Special recognition in MSHP’s Spring and Fall Newsletters  MSHP Annual Conference and MSHP Midyear Clinical Meeting: o One complimentary 8’ x 10’ exhibit booth, table, plus two chairs o Two complimentary lunches at each meeting o Primary exhibit space o Special recognition for each meeting (special booth signage, name badge with Corporate Business Partner ribbon, meeting graphics and meeting folders) o One complimentary meeting registration at each meeting  MSHP Pharmacy Technician Conference o One complimentary exhibit table plus two chairs o One complimentary lunch o Primary exhibit space o Special recognition at the meeting (name badge with Corporate Business Partner ribbon and meeting folder

Platinum: $5,500 12-month program entitles you to the following benefits:  Invitation for up to two representatives from your organization to attend MSHP’s Leadership Retreat dinner on June12, 2018.  Minnesota Night Reception (held in conjunction with ASHP’s Midyear Clinical Meeting) o Special recognition as a Minnesota Night Sponsor on MSHP’s website in the “Corporate Business Partners” and the “Events/Continuing Education” tabs o Special recognition on Minnesota Night invitation and messages to MSHP’s members o Special recognition at Minnesota Night Reception  Six associate memberships to MSHP (associate members receive publications and general communications of MSHP and have access to the “Members Only” section on MSHP’s website)  Complimentary job postings for one year on MSHP’s website in the “Career Center” section  Complimentary listing and link of your company on MSHP’s website in the “Corporate Business Partners” section and in the “Events/Continuing Education” section for the Annual Conference, Pharmacy Technician Conference and Midyear Clinical Meeting  Invitation to MSHP’s Affiliated Regional Societies meetings (MSHP-Arrowhead, MSHP-Central, MSHP-Heartland, MSHP-Northwestern and MSHP-Southern)  Special recognition in MSHP’s Spring and Fall Newsletters  MSHP Annual Conference and MSHP Midyear Clinical Meeting: o One complimentary 8’ x 10’ exhibit booth, table, plus two chairs o Two complimentary lunches at each meeting o Primary exhibit space o Special recognition for each meeting (special booth signage, name badge with Corporate Business Partner ribbon, meeting graphics and meeting folders) o One complimentary meeting registration at each meeting  MSHP Pharmacy Technician Conference o One complimentary exhibit table plus two chairs o One complimentary lunch o Primary exhibit space o Special recognition at the meeting (name badge with Corporate Business Partner ribbon and meeting folder)

Gold Plus: $5,000 12-month program entitles you to the following benefits  Participation in the 2018 Reverse Expo held on April 19, 2018 at MSHP’s Annual Conference. There are a maximum number of 15 vendors that are allowed to participate in the Reverse Expo. First priority is given to the Corporate Business Partners on a first-come, first-serve basis, and the deadline date to submit the application is January 15, 2018.  One-page complimentary meeting folder advertisement for the Annual Conference, Pharmacy Technician Conference and the Midyear Clinical Meeting.  Minnesota Night Reception (held in conjunction with ASHP’s Midyear Clinical Meeting) o Special recognition as a Minnesota Night Sponsor on MSHP’s website in the “Corporate Business Partners” and the “Events/Continuing Education” tabs o Special recognition on Minnesota Night invitation and messages to MSHP’s members o Special recognition at Minnesota Night Reception  Six associate memberships to MSHP (associate members receive publications and general communications of MSHP and have access to the “Members Only” section on MSHP’s website)  Complimentary job postings for one year on MSHP’s website in the “Career Center” section  Complimentary listing and link of your company on MSHP’s website in the “Corporate Business Partners” section and in the “Events/Continuing Education” section for the Annual Conference and Midyear Clinical Meeting  Invitation to MSHP’s Affiliated Regional Societies meetings (MSHP-Arrowhead, MSHP-Central, MSHP-Heartland, MSHP-Northwestern and MSHP-Southern)  Special recognition in MSHP’s Spring and Fall Newsletters  MSHP Annual Conference and MSHP Midyear Clinical Meeting: o One complimentary 8’ x 10’ exhibit booth, table, plus two chairs o Two complimentary lunches at each meeting o Primary booth space o Special recognition for each meeting (special booth signage, name badge with Corporate Business Partner ribbon, meeting graphics and meeting folders) o One complimentary meeting registration at each meeting  MSHP Pharmacy Technician Conference o One complimentary exhibit table plus two chairs o One complimentary lunch o Primary exhibit space o Special recognition at the meeting (name badge with Corporate Business Partner ribbon and meeting folders)

Gold: $4,500 12-month program entitles you to the following benefits:  Minnesota Night Reception (held in conjunction with ASHP Midyear Clinical Meeting) o Special recognition as a Minnesota Night Sponsor on MSHP’s website in the “Corporate Business Partners” and the “Events/Continuing Education” tabs o Special recognition on Minnesota Night invitation and messages to MSHP’s members o Special recognition at Minnesota Night Reception  Six associate memberships to MSHP (associate members receive publications and general communications of MSHP and have access to the “Members Only” section on MSHP’s website)  Complimentary job postings for one year on MSHP’s website in the “Career Center” section  Complimentary listing and link of your company on MSHP’s website in the “Corporate Business Partners” section and in the “Events/Continuing Education” section for the Annual Conference and Midyear Clinical Meeting  Invitation to MSHP’s Affiliated Regional Societies meetings (MSHP-Arrowhead, MSHP-Central, MSHP-Heartland, MSHP-Northwestern and MSHP-Southern)  Special recognition in MSHP’s Spring and Fall Newsletters  MSHP Annual Conference and MSHP Midyear Clinical Meeting: o One complimentary 8’ x 10’ exhibit booth and two complimentary lunches at each meeting o Primary booth space o Special recognition for each meeting (special booth signage, name badge with Corporate Business Partner ribbon, meeting graphics and meeting folders) o One complimentary meeting registration at each meeting  MSHP Pharmacy Technician Conference o One complimentary exhibit table plus two chairs o One complimentary lunch o Primary exhibit space o Special recognition at the meeting (name badge with Corporate Business Partner ribbon and meeting folders)

Silver Plus: $4,250 12-month program entitles you to the following benefits:  Participation in the 2018 Reverse Expo held on April 19, 2018 at MSHP’s Annual Conference. There are a maximum number of 15 vendors that are allowed to participate in the Reverse Expo. First priority is given to the Corporate Business Partners on a first-come, first-serve basis, and the deadline date to submit the application is January 15, 2018.  One-page complimentary meeting folder advertisement for the Annual Conference, Pharmacy Technician Conference and the Midyear Clinical Meeting.  Six associate memberships to MSHP (associate members receive publications and general communications of MSHP and have access to the “Members Only” section on MSHP’s website)  Complimentary job postings for one year on the MSHP website in the “Career Center” section  Complimentary listing and link of your company on MSHP’s website in the “Corporate Business Partners” section and in the “Events/Continuing Education” tabs for the Annual Conference and Midyear Clinical Meeting  Invitation to MSHP’s Affiliated Regional Societies meetings (MSHP-Arrowhead, MSHP-Central, MSHP-Heartland, MSHP-Northwestern and MSHP-Southern)  MSHP Annual Conference & MSHP Midyear Clinical Meeting: o One complimentary 8’ x 10’ exhibit booth and two complimentary lunches at each meeting o Special recognition at each meeting (special booth signage, name badge with Corporate Business Partner ribbon, meeting graphics and meeting folders) o One complimentary meeting registration at each meeting  MSHP Pharmacy Technician Conference o One complimentary exhibit table plus two chairs o One complimentary lunch o Primary exhibit space o Special recognition at the meeting (name badge with Corporate Business Partner ribbon and meeting folders)

Silver: $3,750 12-month program entitles you to the following benefits:  Six associate memberships to MSHP (associate members receive publications and general communications of MSHP and have access to the “Members Only” section on MSHP’s website)  Complimentary job postings for one year on the MSHP website in the “Career Center” section  Complimentary listing and link of your company on MSHP’s website in the “Corporate Business Partners” section and in the “Events/Continuing Education” tabs for the Annual Conference and Midyear Clinical Meeting  Invitation to MSHP’s Affiliated Regional Societies meetings (MSHP-Arrowhead, MSHP-Central, MSHP-Heartland, MSHP-Northwestern and MSHP-Southern)  MSHP Annual Conference & MSHP Midyear Clinical Meeting: o One complimentary 8’ x 10’ exhibit booth and two complimentary lunches at each meeting o Special recognition at each meeting (special booth signage, name badge with Corporate Business Partner ribbon, meeting graphics and meeting folders) o One complimentary meeting registration at each meeting  MSHP Pharmacy Technician Conference o One complimentary exhibit table plus two chairs o One complimentary lunch o Primary exhibit space o Special recognition at the meeting (name badge with Corporate Business Partner ribbon and meeting folders)

NOTE: If you do not sign up to be a Corporate Business Partner, the cost to participate in the Reverse Expo is $1,500. Participants will be required to be a confirmed exhibitor at the 2018 Annual Conference in order to participate in the Reverse Expo. Since there is a limit to the number of participants in the Reverse Expo, Corporate Business Partners will be given the first opportunity and then applications will be accepted on a first-come, first-serve basis until we have reached a total of 15 participants.

Your contribution allows us to provide high quality, ACPE-accredited Continuing Education programs for our members and expanded MSHP’s member services. We are continuously looking for better ways to provide up-to-date information and improve educational programs to our members, and are able to do so with support from our Corporate Business Partners.

Please send your payment and completed application to:

MINNESOTA SOCIETY OF HEALTH-SYSTEM PHARMACISTS 13911 Ridgedale Drive, Suite 260 Minnetonka, MN 55305 Toll Free (800) 906-6747 ● Phone (952) 541-9499 ● Fax (952) 541-9684 MSHP Tax ID# 41-1401022

Questions: Contact Marcy Peterson at [email protected] or toll-free at 800-906-MSHP(6747)/952-541-9499. 2018 MSHP Corporate Business Partnership Application

Company Name: Website:

Contact Person: Title:

Street Address:

City/State/Zip:

Telephone: Fax:

Email:

Platinum Plus - $6,000 for a 12-month Corp. Business Partnership

Platinum - $5,500 for a 12-month Corp. Business Partnership

Gold Plus - $5,000 for a 12-month Corporate Business Partnership

Gold - $4,500 for a 12-month Corp. Business Partnership

Silver Plus - $4,250 for a 12-month Corporate Business Partnership

Silver - $3,750 for a 12-month Corp. Business Partnership

Payment Options (circle one): Please make checks payable to MSHP and forward payment and application to MSHP at 13911 Ridgedale Drive, Suite 260, Minnetonka, MN 55305.

CHECK VISA MASTERCARD

Credit Card #: CVV#: Expiration Date:

Name on Card:

Billing Address (if different than above):

Signature: Date:

Confidentiality Notice: All cardholder data is maintained exclusively for the use of our customers in the authorization, settlement, archiving and retrieval of credit card information in the course of business. Due to PCI Compliance, please do not provide any credit card information via email. Instead, you can call the MSHP office or send a fax.

We agree to comply with all the Rules and Regulations connected with participation in MSHP activities as outlined.

Signature Date Your Corporate Business Partnership Package includes six individual memberships to MSHP. Please list names, addresses, phone numbers and E-mail addresses. Pharmacist members representing your company may register as active, voting members!

1. Name: Title:

Pharmacist: Yes No RPh#:

Address:

City: State: Zip:

Phone: Fax:

E-mail:

2. Name: Title: Pharmacist: Yes No RPh#:

Address:

City: State: Zip:

Phone: Fax:

E-mail:

3. Name: Title:

Address:

City: State: Zip:

Phone: Fax:

E-mail:

4. Name: Title:

Address:

City: State: Zip:

Phone: Fax:

E-mail:

5. Name: Title:

Address:

City: State: Zip:

Phone: Fax:

E-mail: 6. Name: Title:

Address:

City: State: Zip:

Phone: Fax:

E-mail:

Your MSHP Corporate Business Partnership will be effective January 1, 2018 upon receipt of the application and your company will continue to receive full corporate recognition for the next 12 months. Thank you for your continued support of MSHP!

Minnesota Society of Health-System Pharmacists 13911 Ridgedale Drive ● Suite 260 • Minnetonka, MN •55305 Phone: Toll Free (800) 906-6747 or (952) 541-9499 • Fax: (952) 541-9684 • www.mnshp.org