Head & Neck Cadaver Dissection Course 19 - 20 June 2020
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Head & Neck
Cadaver Dissection
Course
Princess Alexandra Hospital
Department of Otolaryngology
- Head & Neck Surgery
Brisbane,
Queensland
Invited Guest:
Richard Lewis
19 - 20 June 2020
Spo
nso
rs
hip
Pac
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ehead & neck cadaver dissection course
19-20 June 2020
Faculty
Ben Panizza Chris Perry
Ben Wallwork Scott Coman
Raefe Gundelach James Bowman
Bernard Whitfield Simon Nasser
Nicholas Potter Julie Agnew
Matthew Cronin Ryan Adams
Leon Kitipornchai Sam Dowthwaite
Emily Perry Theo Birch
Jo-Lyn McKenzie David Black
Cheryl Kelly Gianna Gangemi
Department of Otolaryngology, Head & Neck Surgery
Prof Ben Panizza; A/Prof Chris Perry; Dr Scott Coman;
A/Prof Ben Wallwork; Dr Raefe Gundelach;
Dr James Bowman; Dr Nicholas Potterhead & neck cadaver dissection course
19 - 20 June 2020
Major Sponsors
Platinum Gold Silver Bronze Other
Sponsor Sponsor Sponsor Sponsor
$15,000 $10,000 $7,000 $5000
exc GST exc GST exc GST exc GST
Benefits (i.e.$16,500 incl GST) (i.e. $11,000 incl GST) (i.e. $7,700 incl GST) (i.e. $5,500 incl GST)
*Company logo included on the back cover of
the Program
*Colour advertisement in the Program
Full A5 Full A5 A6 A6
(A5 Program)
#Company representative registration
including:
• Daily morning tea, lunch and afternoon tea
3 2 1 1
• Access to scientific sessions
• Company representation to attend the
Dinner
Delegate attendee list
Satchel insert (no larger than A4 size)
*Inclusion subject to time of receipt of application and payment
#Additional industry representative registrations can be purchased for $385 inc GST.
Department of Otolaryngology, Head & Neck Surgery
Prof Ben Panizza; A/Prof Chris Perry; Dr Scott Coman;
A/Prof Ben Wallwork; Dr Raefe Gundelach;
Dr James Bowman; Dr Nicholas Potterhead & neck cadaver dissection course
19 - 20 June 2020
Additional Industry Representative Registration
$385 inc GST
All company representatives attending must be registered. Additional industry
representative registrations can be purchased for the duration of the Meeting and
includes:
- Daily morning tea, lunch and afternoon tea served in the exhibition area
(as applicable);
- Access to scientific sessions;
- Delegate circulation list including name and state/country provided on the
bump-in day of the exhibition
Department of Otolaryngology, Head & Neck Surgery
Prof Ben Panizza; A/Prof Chris Perry; Dr Scott Coman;
A/Prof Ben Wallwork; Dr Raefe Gundelach;
Dr James Bowman; Dr Nicholas Potterhead & neck cadaver dissection course
19 - 20 June 2020
General Information
Meeting Date
Friday 19 June – Saturday 20 June 2020
Venue
The University of Queensland
Department of Anatomy & Developmental
Biology, Otto Hirschfeld Building
St Lucia, Brisbane, Qld 4072
Exhibition Hours
Friday 19 June 2020 8.00am - 5.30pm
Saturday 20 June 2020 8.00am - 5.30pm
Booking and Payment Method
Please complete the application form and return along with full payment to the
Meeting Organisers. Confirmation of your application will be forwarded to you
together with a tax invoice. Acceptance of sponsorship/exhibition applications is
subject to the Organising Committee approval.
Shirley Littlemore
entconferencesPAH@health.qld.gov.au
Department of Otolaryngology, Head & Neck Surgery
Prof Ben Panizza; A/Prof Chris Perry; Dr Scott Coman;
A/Prof Ben Wallwork; Dr Raefe Gundelach;
Dr James Bowman; Dr Nicholas Potterhead & neck cadaver dissection course
19 - 20 June 2020
Company Name (to appear in Meeting publications):_________________________________________________
Title: _____ Contact Name: _________________________________________Position: _____________________
Contact person will receive all correspondence in relation to the Meeting.
Address:______________________________________________________________________________________
City:________________________________________ State:_______ Postcode:______Country:_______________
Phone:________________________________________________________________________________________
Mobile:_______________________________Email:___________________________________________________
Sponsorship All cost are in AUD and include GST
Amount Sub Total
Major Sponsorship Platinum Sponsorship
Gold Sponsorship
Silver Sponsorship
Bronze Sponsorship
Other Sponsorship
SUB TOTAL SPONSORSHIP
Industry Representatives
Registration includes 3 industry representatives for Platinum Sponsorship, 2 representatives for Gold
Sponsorship, 1 representative for Silver Sponsorship and 1 representative for Bronze Sponsorship.
Please provide first name and surname for name badges (as applicable):
Name _______________________________________________________________________________________
Name _________________________________________Name _________________________________________
Name _________________________________________Name _________________________________________
Additional Representative Registrations All costs are in AUD and include GST
Additional Onsite Representative Name Amount Sub Total
SUB TOTAL ADDITIONAL INDUSTRY REPRESENTATIVES
Please attach additional sheets on company letterhead if more than four additional representatives are required.
Department of Otolaryngology, Head & Neck Surgery
Prof Ben Panizza; A/Prof Chris Perry; Dr Scott Coman;
A/Prof Ben Wallwork; Dr Raefe Gundelach;
Dr James Bowman; Dr Nicholas Potterhead & neck cadaver dissection course
19 - 20 June 2020
Payment Options
1. Cheque – Made payable to PA Research Foundation Ref: H&N Invoice #________________
2. Credit Card – Please call the PA Research Foundation (07) 3176 2359 to pay with credit card over the phone.
Please state your invoice number.
3. EFT Payment
Account Name: PA Research Foundation Operation Account
BSB Number: 064 000
Account Number: 10393277
Bank Name: Commonwealth Bank Australia
BIC/SWIFT Code: CTBAAU2S Ref: H&N Invoice #_______________
Please send remittance to: Kerstin@pafoundation.org.au
SPONSORSHIP
ADDITIONAL INDUSTRY REPRESENTATIVES
TOTAL PAYABLE (AUD) $
Cancellations must be received in writing by the Meeting Organiser.
Cancellations will not be refunded unless sponsorship / booth space are able to
be re-sold.
Prior to an invoice being issued, do you require either of the following, or can the PA Research Foundation Issue
an invoice for sponsorship?
Please tick appropriate box:
An agreement A letter requesting sponsorship
For agreements or contracts, please address the agreement or contract to:
PA Research Foundation
199 Ipswich Rd
Woolloongabba Qld 4102
PARF ABN: 66 114 207 649
Signatory: Damian Topp, Chief Executive Officer
Department of Otolaryngology, Head & Neck Surgery
Prof Ben Panizza; A/Prof Chris Perry; Dr Scott Coman;
A/Prof Ben Wallwork; Dr Raefe Gundelach;
Dr James Bowman; Dr Nicholas Potterhead & neck cadaver dissection course
19 - 20 June 2020
Terms and Conditions Implied Warranties
The application of the Exhibitor to exhibit is an offer which is In the event any statute implies any term condition or warranty into
accepted by the PA Research Foundation/Dept. of Otolaryngology, this agreement which cannot be lawfully excluded, such terms will
Head & Neck Surgery of the amount payable on making the apply to this agreement, save that the liability of the Organisers and
application. each of them for breach of any such implied term will be limited, at the
Booking Conditions option of the Organisers, to any one or more of the following:
Acceptance of Sponsorship/Exhibition Applications will be subject • the placement of goods to which the breach relates or the supply
to Committee approval. The Committee reserves the right to decline of equivalent goods
applications based on any association, direct or indirect, that does • the repair of such goods
not uphold the objectives of the Meeting. • the payment of the cost of replacing the goods or of acquiring
Cancellation Policy equivalent goods, or
• In the case of the cancellation of sponsorship, unless all • the payment of the cost of having the goods repaired
sponsorship is resold PA Research Foundation will reserve the right Consequential Damage
to retain monies received. The Organisers will not be liable for any indirect or consequential
• In the case of the cancellation of a stand, please note that unless damages arising out of a breach of this exhibition contract.
we are able to sell all space we reserve the right to retain all monies Variations
received. The Organiser may in the event of any circumstance which renders it
• If the balance of payment on the stand is not received within the necessary vary the booth or stand space allocation and the exhibitor
trading terms the allocated stand will be cancelled. will accept such re-allocation without any claim for a reduction in
Attendance charges or otherwise.
The Exhibitor understands that all attendees must register officially. Unavoidable Occurrences
General Terms In the event that the exhibition is cancelled or delayed through no fault
The Exhibitor agrees to be bound by the Exhibition General Terms of the Organiser, the Venue Manager or the Sponsors including but not
and Conditions. Conditions set out in the “Sponsorship Prospectus” limited to fire, flood, labour disputes, natural disasters, acts of God,
document, which is acknowledged as being received. civil disorders, riots, insurrections, work stoppages, slow downs or
Booth Allocation disputes, or other similar events then the exhibitor shall not be entitled
The exhibitor understands that stands and/or space will be allocated to any refund or to claim for any loss or damage.
strictly to order of receipt of payment and that the Committee’s Assignments and Subletting
decision will be final. No exhibitor shall assign, sublet or share the whole or any part
Liability and Insurance of the space stand allotted without the knowledge and consent
The exhibitor and the servants, agents and contractors of the of the Organiser.
exhibitor occupy and use the exhibition space/booth allotted under Hours
this exhibition contract and enter the Princess Alexandra Hospital The Organiser shall determine the hours during which the exhibition
and act under or pursuant to this exhibition contract at their own risk. shall be conducted and as to hours of access for exhibitors including
The exhibitor hereby indemnifies and releases the Dept. of variations of such times as shall be necessary.
Otolaryngology, Head & Neck Surgery (“the Organisers”),
Princess Alexandra Hospital and the exhibition contractor and each
of them against all actions, suits, costs, claims and demands brought
against the Organiser, and the Venue Managers by any natural
person, firm or corporation for any damage or loss caused directly, or
indirectly to, or suffered by any person, firm or corporation as a result
of any act or default of the exhibitor or the servants, agents, contrac-
tors or invitees of the exhibitor or resulting directly or indirectly from
the attendance of the exhibitor at the exhibition, including travel to
and from such venues and without limiting the foregoing the Organ-
iser and the Venue Managers or any of them shall not in any
circumstances be liable for any loss damage or injury which may
occur to the exhibitor or the servants, agents or contractors of the
exhibitor or for any damage to their property including damage to
exhibits, plant equipment, fixtures, fittings or other property
whatsoever or for any loss of profits which they may suffer howsoever
caused.It is strongly advised that each exhibitor seek to cover their
equipment, exhibits and display material with adequate insurance
and also effect public risk insurance at the expense of the exhibitor.
Department of Otolaryngology, Head & Neck Surgery
Prof Ben Panizza; A/Prof Chris Perry; Dr Scott Coman;
A/Prof Ben Wallwork; Dr Raefe Gundelach;
Dr James Bowman; Dr Nicholas PotterYou can also read
