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Booth Registration Information

Please fill in all the required fields to continue...

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Attendee Registration

You receive two complimentary
attendees with your registration



Additional Attendees

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$25,000

Platinum


Receive special recognition by taking the stage and introducing our Keynote Speaker, Dr. Jerome Adams, 20th Surgeon General of the United States, as we kick off our supplier portion of Contribute 2022 on Monday, October 3rd. This includes 6 tickets to attend this exclusive event (including reserved front-row seating amoung our leadership team) and a chance to meet Dr. Adams in person.

SOLD OUT – Thank you Medtronic

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Just Dance

$12,000

One Available
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Just Dance

Grab your dancing shoes and take the stage to introduce our incredible LIVE BAND on Tuesday at our Supplier Appreciation Event and have dinner with our Sales & Supplier Relations leaders, Mark Henderson and Scott Lyons!

SOLD OUT - Thank you GOJO

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Gold

$10,000

One Available
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Gold

Be recognized at our Tuesday Welcome Breakfast and the feature supplier at our Supplier Address during lunch, including reserved seating with our CEO, Lisa Hohman, among other leaders. Also receive 2 tickets to our exclusive Keynote Speaker, Dr. Jerome Adams, on October 3rd.

SOLD OUT - Thank you DUKAL

Rise Up

Rise Up

$7,500

One Available
Rise Up

Rise Up

Make a lasting impression at our Sunday evening Teambuilding Event where we will work on Positively Impacting Lives™️ by supporting a not-for-profit charity! Send up to 4 attendees to participate in this internal Concordance event.

Add this Sponsorship

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Feed the Team

$5,000

Two Available
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Feed the Team

Nourish the team by sponsoring the Food at our unforgettable Supplier Appreciation Event on Tuesday evening!

Add this Sponsorship

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Bottoms Up

$5,000

Two Available
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Bottoms Up

Liven up the party by sponsoring the Beverages at our unforgettable Supplier Appreciation Event on Tuesday evening!

Add this Sponsorship

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The Climb

$4,500

One Available
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The Climb

Make it possible for attendees to test their agility, strength and nerves on the indoor Ropes Course that includes 30 obstacles. Your attendees can join a few of our Sales Leaders as first to tackle the course!

Add this Sponsorship

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Big Fish

$3,500

One Remaining
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Big Fish

Bring an amazing experiece to the team with your sponsorship of our Aquarium tours on Monday evening… Travel the Changing River, Dive into Shark Canyon and Explore the Deep!

Add this Sponsorship

The Maze

The Maze

$3,500

One Available
The Maze

The Maze

Take our attendees on a journey through the labyrinth of mirrors, test their World’s Fair knowledge with interactive experiences and explore the curiosities in the Union Station Fun House.

SOLD OUT - Thank you STERIS

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Team Advance

$3,000

Four Available
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Team Advance

Show your support for our team by sponsoring our internal education and training sessions.

Add this Sponsorship

Food Truck

Food Truck

$2,000

Five Available
Food Truck

Food Truck

Sponsor a meal or break at Union Station.

Add this Sponsorship

Shuttle Bug

Shuttle Bug

$1,500

Eight Available
Shuttle Bug

Shuttle Bug

Help us keep moving by sponsoring our transportation shuttles throughout the event.

Add this Sponsorship

Giver

Giver

$1,000

Unlimited Available
Giver

Giver

For it is through giving that we receive.

Add this Sponsorship

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Exclusive Executive

Concordance is offering 45-minute Exclusive Executive Sessions with our top Sales and Marketing Leaders.
NOTE: Additional fees apply.

Yes, our executives are interested and would like to be included in an Exclusive Executive session. Please send more info about these sessions to our Main Contact.

No, we are not interested in participating in the Exclusive Executive Sessions this year.

Registration Review

Booth Registration Information - Edit

Supplier Name:

Preferred Booth Name:

Current Markets:

Growth Markets:

Booth Placement (Do NOT place beside):

Booth Fees:

– until June 29, 2022    

- after June 29, 2022

Main Contact Name:

Main Contact Title:

Main Contact Email:

Is the Main contact attending the event

Attendees Registration Information - Edit

First Attendee

Name:

Job Tile:

Email:

Attending Dr. Adams Keynote ($50 charge to each attendee):

Second Attendee

Name:

Job Tile:

Email:

Attending Dr. Adams Keynote ($50 charge to each attendee):

Third Attendee ($1,000 additional charge)

Name:

Job Tile:

Email:

Attending Dr. Adams Keynote ($50 charge to each attendee):

Fourth Attendee ($1,000 additional charge)

Name:

Job Tile:

Email:

Attending Dr. Adams Keynote ($50 charge to each attendee):

Fifth Attendee ($1,000 additional charge)

Name:

Job Tile:

Email:

Attending Dr. Adams Keynote ($50 charge to each attendee):

Sixth Attendee ($1,000 additional charge)

Name:

Job Tile:

Email:

Attending Dr. Adams Keynote ($50 charge to each attendee):

Total

Sponsorship Information - Edit

Selected Sponsorship

Total

Exclusive Executive - Edit

Concordance is offering 45-minute Exclusive Executive Sessions with our top Sales and Marketing Leaders.
NOTE: Additional fees apply.

Payment Information

Grand Total

Select Payment Type

(The Main Contact will receive applicable invoice)

Payment requirements - All payments are due within 4 weeks of registration or by July 15, whichever comes first. Check payments should be made payable to Concordance Healthcare Solutions and MUST be address in this manner:

- Concordance Healthcare Solutions
- ATTN: Christy Coppus/Contribute 2022
- 85 Shaffer Park Drive, Tiffin, OH 44883

Paypal
Check

By checking this box I confirm that all information provided above is accurate.

I have read, understand and agree to the terms & conditions of attending Contribute 2022.

Terms & Conditions

Contribute 2022 Supplier Terms and Conditions:

By registering as an attending Supplier for the Contribute 2022 event by Concordance Healthcare Solutions, I understand that all booth space and session registration fees are final and nonrefundable. While I and my company are able to make changes to our list of attending personnel, any booths, sponsorships, sessions and other indications, including corresponding funds, indicated in the above registration form are final and nonrefundable.

Contribute 2022 Individual Terms and Conditions:

By registering to attend, exhibit or speak at the in-person Contribute 2022 event by Concordance Healthcare Solutions, I am certifying that I understand and agree to the terms and conditions below. If I am registering someone other than myself, I agree to let those registrants know that the terms and conditions below are a requirement of attending the Contribute 2022 event.

Infectious Disease:

I will not attend any event at Contribute 2022 if I have tested positive within the last 10 days for COVID-19 or have been diagnosed with, or showing symptoms of, any other infections disease(s) (e.g., influenza, tuberculosis, measles, mumps, etc.). In addition, I understand that Concordance has not established mandates relating to vaccination or masking for the Contribute 2022. Attendees assume the responsibility of managing their individual risk of exposure. NOTE: Concordance will adhere to any CDC, local and state laws regarding COVID guidelines currently in place at the time of the event.

Use of Image:

I grant Concordance, and its employees and agents, an unrestricted right and license to use my image, likeness, name, voice, comments and/or other proprietary or public rights and/or those in any live or recorded talks, broadcasts, photographs, videos, audio or other recordings taken in connection with the event.

Assumption of Risk & Waiver of Liability:

I assume all risks and accept sole responsibility for any injury (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability or expense, of any kind, that I may experience or incur in connection with attending the event. I hereby release, covenant not to sue, discharge and hold harmless Concordance Healthcare Solutions, its employees, agents, and representatives, of and from any such claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to my attendance at the event.