Corporate Friends Sponsorship

CLICK HERE TO COMPLETE THE ONLINE FORM

CLICK ON THE IMAGE BELOW TO DOWNLOAD THE FORM

EXHIBITOR TYPE

Non-Profit ........................................ $200.00

Table in Vendor Exhibition area, with up to 2 people per table.
Access to the conference for 2 individuals with complimentary meals.
Listed as a vendor on BIALA website.

*There is a flat fee for those seeking CEUs: $50 per person.

Non-Profit ............................................. $350.00

6 ft. table in Exhibit Hall with 2 chairs
Access to the conference for same 2 individuals with complimentary meals and CEUs
Listed as an exhibitor in conference program and on BIALA website
Included in BIALA's online resource guide

Corporation ............................................. $500.00

6 ft. table in Exhibit Hall with 2 chairs
Access to the conference for same 2 individuals with complimentary meals and CEUs
Listed as an exhibitor in conference program and on BIALA website
Included in BIALA's online resource guide

*There is a flat fee for those seeking CEUs: $50 per person.

General Contact Information

Company/Organization Name *

Name of FIRST Representative*

Email Address *

Phone Number *

Seeking CEUs? *

Yes

No

If Yes, list discipline:

Joining Us For Lunch? *

Yes

No

If Yes, list dietary restrictions:

Name of SECOND Representative*

Email Address *

Phone Number *

Seeking CEUs? *

Yes

No

If Yes, list discipline:

Joining Us For Lunch? *

Yes

No

If Yes, list dietary restrictions:

Business Mailing Address

City *

State *

Zipcode/Postcode *

Will You Require Electrical Setup? *

Yes

No

If Yes, please submit $20 electrical set up fee.

Is your organization willing to donate a small door prize (i.e. $25 gift certificate, goodies basket, etc.) *

Yes

No

Authorization for Photo,Video, or Audio Recording of Presentation:
I grant permission to BIALA, itsrepresentatives, employees and volunteers the right to take photographs, videoand/or audio recordings in connection with any educational presentation, andauthorize BIALA, its assigns and transferees the right to use or publish samein print or electronically.My name and date entered below is myapproval for BIALA to use photographs/video/audio recordings of me (with orwithout my name) for any lawful purpose, including education, publicity,illustration, advertising, and web content.

Please fill out our exhibitor form above, or click the button to download a paper copy.

DOWNLOAD OUR EXHIBITOR APPLICATION

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

Living with a spinal cord injury has been a challenge but the peer mentor program has definitely assisted me in adjusting to my new normal. Thank you for giving me hope.

Emerson Moss

Individual with SCI

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The BIALA hotline has been a huge source of hope for me. As the mother of a daughter who has a brain injury, it has been extremely comforting to be able to talk to someone who is empathetic, kind and comforting. Somedays I just need someone to talk to so it is great knowing there is someone there willing to listen to me.

Avery Shelton

Caregiver

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My son sustained a spinal cord injury a few years ago, and I still rely on the resources BIALA has to offer to help us live our lives. When I am feeling down and need some encouragement, the BIALA hotline is the first place I reach out to. I feel a sense of relief after I call because of the kindness and compassion I am given. BIALA seems to really care about those they serve, and I am so thankful to have someone to talk to.

Berly Rose