Corporate Friends Sponsorship

CLICK HERE TO COMPLETE THE ONLINE FORM

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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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Having a spinal cord injury is very challenging but with the support I have received from BIALA, life is a little easier. The kindness and compassion I receive when I call the hotline is wonderful plus the resources I learn about are invaluable. My spirits are always lifted after I reach out to BIALA.

Caroline Nick

Individual with SCI

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During an incredibly difficult time, when I called the BIALA hotline desperate for help, I was greeted by someone who showed that she truly cared, and I can't say thank you enough. She was a life support for me, and I don't know how I would have survived without her. She was there when I had no one else and brought me peace and comfort and understanding. There is no amount of money or thanks in the world that could repay her for her kindness and compassion. She was and continues to be such a blessing to me.

Catherine Genovese

Caregiver

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Thank you for your kind words and speedy reply. You have been lovely trying to help me help my brother. You have been brilliant taking time to research my requests for me which has allowed me to spend more time assisting my brother. Thank you for being such a blessing.

Constance Urban