dermlogoSM.gif (1366 bytes)

2007 Conference

WSDA
2033 Sixth AVe., Ste. 1100

Seattle, WA 98121

kad@wsma.org

 

 

 

WASHINGTON STATE DERMATOLOGY ASSOCIATION

74ND Pacific Northwest Dermatological Scientific Meeting

                                     JULY 12-15, 2007  

The Coeur d'Alene Golf and Spa resort
Coeur d'Alene, I daho

ADDITIONAL SPONSORSHIP
and/or
EDUCATIONAL GRANT

 COMPANY:_________________________________________________________________

 CONTACT NAME:___________________________________________________________

 ADDRESS:__________________________________________________________________

CITY:___________________________________STATE:____________ZIP:______________ 

TELEPHONE: (            )___________________FAX: (        )_________________________

EMAIL:_____________________________________________________________________

        We want to SPONSOR one or more of the following:

             £  Scientific Symposium                      £  Guest Speaker Expenses & Honoraria

             £  Thursday Evening Welcome Reception

             £  Coffee Breaks (3 available)                 £  Friday        £  Saturday   £  Sunday

             £  Continental Breakfast  - Friday               £  Continental Breakfast  - Saturday

             £  Box Lunch – Friday                                  £  Box Lunch - Saturday

             £  Friday Evening Banquet                          £  Syllabus Printing Cost

 

                    PLATINUM r $10,000  r $12,000
                   GOLD          
r  $7,000    r  $8,000    r  $9,000
      
            SILVER          r  $4,000    r  $5,000  r  $6,000
      
            BRONZE        r  $2,000    r  $2,500    r  $3,000    
                    OTHER:        
r  $                              

            CHECK PAYABLE & RETURN THIS FORM TO:

                                                 Washington State Dermatology Association
                                                2033 Sixth Avenue, Suite 1100
                                                Seattle WA  98121

                                                     TAX ID #  94-3167911

If you have any questions, please call Kory Diemert at (206) 956-3646.


Web site written and maintained by A-1 NetMarketing