Agreement between Mayo Clinic College of Medicine - MCSCPD and: Name of Company Sponsoring * Name of Representative Sponsoring * Address (Street, City, State, Zip Code) * Phone * Email * Terms and Conditions SPONSOR agrees to abide by ACCME Standards for Commercial Support as stated at www.accme.org: SCS 4.2: “Product-promotion material or product-specific advertisement of any type is prohibited in or during CME activities. The juxtaposition of editorial and advertising material on the same products or subjects must be avoided. Live (staffed exhibits, presentations) or enduring (printed or electronic advertisements) promotional activities must be kept separate from CME.” “For live, face-to-face CME, advertisements and promotional materials cannot be displayed or distributed in the educational space immediately before, during or after a CME activity. Providers cannot allow representatives of Commercial Interests to engage in sales or promotional activities while in the space or place of the CME activity.”SPONSOR may only distribute educational promotional materials. Distribution of non-educational items (pens, notepads, etc.), pharmaceuticals or product samples is prohibited.All sponsorship fees associated with this activity will be given with the full knowledge of the PROVIDER. No additional payments, goods, services or events will be provided to the course director(s), planning committee members, faculty, joint provider, or any other party involved with the activity.PROVIDER agrees to provide sponsorship and may acknowledge SPONSOR in activity announcements. PROVIDER reserves the right to limit sponsorship at its discretion.Completion of this agreement represents a commitment and SPONSOR is obligated to provide full payment of all amounts due under this agreement by the ACTIVITY DATE unless otherwise agreed upon by the PROVIDER. PROVIDER reserves the right to refuse sponsorship to SPONSOR in the event of nonpayment or Code of Conduct violation.If this agreement is cancelled by either party forty-five (45) days or more in advance of the Activity Date, PROVIDER will refund the SPONSOR Fee less a $300 processing fee. If this agreement is cancelled by SPONSOR less than forty-five (45) days in advance of the Activity Date, the total amount due under this Agreement shall be immediately due and payable to PROVIDER.Note: All sponsors must be approved by MCSCPD and this agreement is not binding until both parties have signed. MCSCPD maintains the right to refuse any sponsor. Payment and Sponsorship OpportunitiesMayo Clinic PROVIDER Federal Tax ID number is 41-6011702. Form of Payment * Indicate your form of payment Credit Card Payment - Preferred Check Payment - to pay by check call 1-800-323-2688 Limited opportunities available. Sponsorship opportunities are availabile subject to counter signature by Mayo Clinic. Select the options that you plan on purchasing: Sponsorship Opportunities * Select all that apply. NOTE: Availability subject to counter signature by Mayo Clinic Attendee lanyards logo - Exclusive ($1,500.00) - Personalize lanyards with your company’s logo or product promotion for immediate exposure to attendees. Conference Bag Inserts - Multiple Opportunities Available ($1,000.00) - Your company will provide 100 copies of the flyer or advertisement (no larger than 8 ½ x 11, no more than one page) and MCSCPD will stuff them into the official conference bags. Signatures The person signing below is authorized to enter into this agreement. Note: This agreement is not binding until both parties have signed.By signing below, I agree to the "Terms and Conditions" outlined in this Exhibitor Agreement (including ACCME Standards for Commercial Support): Sponsor Representative Signature * For Mayo Clinic Use Only Mayo Clinic Representative Signature Leave this field blank
