<p> 2017 Fall Symposium Sponsor & Exhibitor Opportunities</p><p>Caring for Older Adults Living with Advanced Disease</p><p>Annual Fall Symposium Beatitudes Campus 1610 W. Glendale Avenue, Phoenix, Arizona October 20 – 21, 2017</p><p>Join us as we learn about, from, and with each other about providing high quality interprofessional care for older adults living with advanced complex disease.</p><p>Dear Supporter of Continuing Geriatric Education:</p><p>The Arizona Geriatrics Society annual continuing education conferences offer the opportunity to reach geriatric healthcare professionals from across Arizona – physicians (MD/DO/NDs, geriatricians, family practitioners, internists, hospitalists, ANPs, etc.), NPs, PAs, nurses, social workers, pharmacists, case managers, therapists, long-term care and assisted living facility administrators, chaplains – all of whom are providing geriatric healthcare for older adults in Arizona. Our members span the fields of geriatrics and gerontology; inpatient and outpatient; home and community-based; social services; residential, skilled nursing, and assisted living facilities; financial services; elder law; governmental agencies; and universities. </p><p>Sponsors and exhibitors of our annual continuing education conferences gain access to the largest interprofessional gathering of healthcare geriatric and gerontology professionals in Arizona. Each year healthcare professionals gather to network, learn, share their expertise, and support each other at AzGS conferences. Being a sponsor and/or exhibitor offers unique opportunities for your organization to network, market and advertise, and boost your visibility. Your support makes AzGS conferences possible.</p><p>Thank you for your support of the Arizona Geriatrics Society!</p><p>Our Vision The Arizona Geriatrics Society (AzGS) is the preeminent source of education for interprofessional geriatric health providers in Arizona.</p><p>Our Mission Is to advance the best healthcare practices for older Arizonans by supporting the education of interprofessional geriatric health providers.</p><p>1</p><p>2017 Fall Symposium Exhibitor Form</p><p>EARLY REGISTRATION (Reserve by September 30th) LATE REGISTRATION (after September 30th) </p><p>AzGS MEMBER RATE AzGS MEMBER RATE $600 For-Profit $650 For-Profit $400 Non-Profit $425 Non-Profit</p><p>NON-MEMBER RATE NON-MEMBER RATE $700 For-Profit $750 For-Profit $500 Non-Profit $525 Non-Profit</p><p>Contact First Name Last Name Credentials</p><p>Company Name </p><p>Company Mailing Address</p><p>City State Zip</p><p>Company Email Address Company Phone </p><p>Representative(s) Who Will Staff Your Exhibit Table</p><p>Rep1 Name Rep 1 Email Rep 1 Phone</p><p>Rep 2 Name Rep 2 Email Rep 2 Phone</p><p>Rep 3 Name (ADDITIONAL CHARGE $100) Rep 3 Email Rep 3 Phone</p><p>Payment Information AzGS is a 501(c) (3) non-profit organization, tax ID #86-0598186. Make checks payable to Arizona Geriatrics Society and mail with this form to: 1934 East Camelback Road, No. 120-419, Phoenix, AZ 85016 or email [email protected]</p><p>Enclosed is my check (payable to Arizona Geriatrics Society). Please charge my credit card: AmEx MasterCard Visa </p><p>$ Credit Card Number Total Amount to Charge Name on Credit Card Expiration Date Exhibit registration includes food, beverages, and admission to the conference for two representatives plus the exhibit space (6’ table with two chairs). There is an additional charge of $100 per person for more than two representatives. For additional information, please email us at [email protected] </p><p>2</p><p>Thank you for your support of the Arizona Geriatric Society!</p><p>3</p>