Exhibitor Packet

2019 Northwest Pharmacy Convention May 30 - June 2, 2019

Attendee Guide and Registration Information

Welcome to the Northwest Pharmacy Convention May 30th through June 2nd, 2019

The Coeur d’Alene Resort, 115 S 2nd St, Coeur D Alene, ID 83814 (and connecting Coeur d’Alene Convention Center)

Three Days of Learning, Engagement and Great Times!

You’ll have the opportunity to hear from colleagues and other pharmacy leaders on the critical issues facing our profession today, all throughout the weekend. We’re confident that you will

return home refreshed and equipped with new tools to enhance your practice.

Education is the very core of the Northwest Pharmacy Convention. The CE programming is designed for all pharmacy professionals who practice in varied health care settings.

Participants can obtain more than 15 hours of ACPE accredited continuing education over the course of the weekend at the more than 30 scheduled events.

Let’s Have a Wonderful Weekend!

Conference Objectives:The conference will provide continuing pharmacy education for the profession of pharmacy in a structured educational activity designed or intended to support the continuing development of pharmacists, pharmacy technicians and pharmacy students to maintain and enhance their competence. The continuing education activities will promote problem-solving and critical thinking and be applicable to the practice of pharmacy. For more detailed information, please visit our website.

The Washington State Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Thursday, May 31

Step 1: RegiStRant infoRmation

Step 2: RegiStRation optionS

Step 1: RegiStRant infoRmation

Please complete the convention registration information below. If you are bringing a guest who will attend convention functions, complete Step 5. Legibly print your name as you would like it to appear on your name badge.

Name Nickname for badge only

Home Address City|State|Zip

What pharmacy association are you affiliated with? ISHP ISPA MT WA (other)

Place of Employment

Title E-mail

Phone *Date of Birth (MMDD) *NABP e-Profile ID# (*Needed to process CE)

Check all that apply to you: Pharmacist Technician Resident/Fellow (PGY 1-3) Speaker

Board of Directors Past President Student (what school do you attend? _____________________)

Dietary Preference: Gluten Free Vegan Vegetarian

Do you require disability accommodations? Hearing Sight Wheelchair Other _____________________ (notification deadline is May 9, 2019)

I would like to be a poster judge Yes (You’ll be judging 8-9 posters on Friday anytime between 10:00 AM and 6:30 PM, receiving 1.5 hours of board CE)

2019 Northwest Pharmacy ConventionMay 30 - June 2, 2019 • Coeur d’Alene Resort, IdahoReserve rooms by May 2nd for discounted room rates

Limited Time Offer!Register by May 2nd and save $150!

Register online at www.wsparx.org

Total Step 2: $________________________

Step 2: RegiStRation optionS

(until 05/2) (05/3-05/16) (after 05/17) (until 05/2) (05/3-05/16) (after 05/17)

Please select one of the registration options below. To become a member and get discounted pricing, contact your state association.

Limited Offer Early Bird Regular Limited Offer Early Bird Regular

Pharmacist Technician | Student | Residents PGY 1-3

Member $439 $539 $589 $379 $429

Non Member $679 $779 $829

Member $279

Non Member $389 $489 $539

B) DAILY REGISTRATION:

Friday: Includes all Friday CE activities, Exhibit Hall, AM Coffee service, lunch gift card (used anywhere at the resort) and "Beers with Peers" (non hosted). Does not include golf fees.

Pharmacist Technician | Student | Residents PGY 1-3

Member $279 $379 $429 Member $169 $269 $319

Non Member $489 $589 $639 Non Member $279 $379 $429

Saturday: Includes entrance to all Saturday CE activities, AM coffee service, Lunch, Alumni Receptions and the Saturday Evening Event.

Pharmacist Technician | Student | Residents PGY 1-3

Member $279 $379 $429 Member $169 $269 $319

Non Member $489 $589 $639 Non Member $279 $379 $429

Sunday: Includes entrance to all Sunday CE activities and AM coffee service.

Pharmacist Technician | Student | Residents PGY 1-3

Member $119 $219 $269 Member $69 $169 $219

Non Member $229 $329 $379 Non Member $169 $269 $319

Will you be claiming CE (circle one)? Yes No

A) ALL INCLUSIVE REGISTRATION: Includes all CE activities, Welcome Reception, Exhibit Hall, AM Coffee service (Friday - Sunday), Lunch (Friday & Saturday), "Beers with Peers" (non hosted), Alumni Receptions and Saturday Evening Event. Does not include golf fees.

Practice Setting (circle one): Ambulatory - Community - Health-Systems - Independent

Mail to: WSPA · 411 Williams Avenue South, Renton, WA · 98057 · Fax to: 425.277.3897 · Email: askwspa@wsparx.orgCall us with questions at 425.228.7171 Ext. 0

$239 | Full Pass (3 day pass)Full Pass includes coffee service

, xhibit. (Does not include golf fees or CE programs.)

Option #2:A LA CARTE: Meals, Events & ReceptionsCheck all that apply, prices are per person.

$239 | Full Pass (3 day pass)Full Pass

(Does not include golf fees or CE programs.)

Option #2: A LA CARTE: Meals, Events & ReceptionsCheck all that apply, prices are per person.

Total Step 5: $___________________

Guest 2 Name:_____________________________________Guest 1 Name:_____________________________________

As part of our Student Assistant Program, students help with the logistics of the event. In return, they are able to attend this event at a reduced rate. To o�set the cost of o�ering this opportunity, we ask that you please consider sponsoring the program so that we can continue to o�er this option to our students. Donations may be tax deductible - please check with your tax advisor

$250 $150 $100 $50 Total Step 3: $__________________

Total STEP TWO $____________________

Total Step 3 $____________________

Total Step 4 $____________________

Total Step 5 $____________________

Promo Code _____________________

, golf cart, practice balls, putting contest and awards.

$189 per person before May 2nd. $239 per person after May 2nd.

Preferred foursome:

_______________________________________________ _______________________________________________

_______________________________________________ _______________________________________________ Mulligan 1 for $10 Mulligans 3 for $20 Drink Ticket $10

Total Step 4: $__________________

Step 3: StUDent aSSiStant pRogRam SponSoRSHip

Step 4: fRiDaY goLf CLaSSiC

Step 5: gUeSt anD famiLY RegiStRation

Card Number: ___________________________________________

Expires: ______/_______ 3 - digit security code ____________

Name on Card:___________________________________________

Signature:_______________________________________________

RSVPFull registration and Saturday-only registration include a ticket for Saturday evening’s event. For an accurate head-count, please let us know if you plan to attend. Yes No

Step 6: totaL anD paYment

Cancellation Policy: If cancellation is received by May 19th a refund will be made minus a $50 processing fee. No refunds will be issued after May 19th.

Total for Guest 1 $__________________

Welcome Reception $29 Friday Exhibit Hall/Reception $49 Saturday Lunch Bu�et $39 Saturday Alumni Reception $19 Saturday Night Event $89

Dietary Preference: Gluten Free Vegan Vegetarian

Total for Guest 2 $__________________

Welcome Reception $29 Friday Exhibit Hall/Reception $49 Saturday Lunch Bu�et $39 Saturday Alumni Reception $19 Saturday Night Event $89

Dietary Preference: Gluten Free Vegan Vegetarian

(Check Payable to WSPA)

Please contact the Coeur d’Alene Resort in Idaho at 1-844-441-3648 by May 2nd to receive discounted room rates. Let them know you are attending the Northwest Pharmacy Convention.

For detailed event, CE information, or online registration, go to www.wsparx.org.

(This is for Idaho & Montana Association Members Only - please contact your association for this code if you did not receive it via email)

TOTAL AMOUNT DUE $ _____________________

Rooms at the Coeur d’Alene ResortStandard Room - Most economical, available in limited quantity. Available with two doubles or one queen.

Park Wing Room - Tastefully appointed offering park and city views. Available with two doubles or one queen.

Tower Room - Luxurious rooms located in the 18-story tower. Rooms are oversized with a refreshment center and refrigerator. King or two double beds.

Lodging, Food and Activities

Before May 2nd, get discounted rates for The Coeur d’Alene Resort ($140-$235/night) by calling (800) 688-5253 and identifying yourself as a Northwest Pharmacy Convention participant.

Restaurants and Bars in Coeur d’Alene

Cafe Carambola - Latin American, Salad, Mexican 610 W Hubbard St Coeur d’Alene, ID 83814 (208) 676-8784 Satay Bistro - Asian 2501 N 4th St Coeur d’Alene, ID 83814 (208) 765-2555 The Garnet Cafe - Breakfast and Brunch 315 Walnut Ave Coeur d’Alene, ID 83814 (208) 667-2729 El Paisa Mexican Food - Mexican 1801 N Lincoln Way Coeur d’Alene, ID 83814 (208) 930-4210 The Filling Station on 5th - Gastropub, Vegetraian, Bar 501 Sherman Avenue Coeur d’Alene, ID 83814 (208) 665-4681 Moon Time - Gastropub 1602 Sherman Ave Coeur d’Alene, ID 83814 (208) 667-2331 Bardenay Restaurant and Distillery 1710 W Riverstone Dr Coeur d’Alene, ID 83814 (208) 765-1540 Crafted Tap House and Kitchen 523 E Sherman Ave Coeur D’alene, ID 83814 Phone number (208) 292-4813 Season’s - Bar with Traditional American Food 209 Lakeside Ave Coeur d’Alene, ID 83814 (208) 664-8008

Area Activities Timberline Adventures - Zipline Tour 210 Sherman AveCoeur d'Alene, ID 83814 (877) 688-0835 Tubbs Hill - Public Trail 710 E Mullan AveCoeur d’Alene, ID 83814 (208) 769-2252 Silverwood Theme Park - Amusement Rides and Waterpark 27843 N Highway 95 Athol, ID 83801 (208) 683-3400 Coeur d’Alene Bike Company - Bike Rentals 314 N 3rd StCoeur d’Alene, ID 83814 (208) 996-4022

Heavenly Golfing Experience! The Coeur d’Alene Resort The breathtaking lake views from nearly every hole eases the tension of the formidable challenge presented by the floating green. The award-winning, expertly groomed course aesthetics compliment the experience. The Golf Classic supports scholarships for pharmacy students, and (of course) there are great prizes for attending!

Prizes will be awarded for…

• 1st Place

• 2nd Place

• $5,000 prize for a hole-in-one!

• Other hole-in-one prizes

Please be present by 7:30 AM for 8:00 AM shotgun start on Friday, May 31st.

All proceeds to help students attend NWPC.

Please note: Lunch will be provided for those registered as individual attendees of the NWPC. Non-attendees or those registered as exhibitors may purchase lunch separately.

If you have any questions, please call Akilah Williams at (425) 228-7171 or visit our website at www.wsparx.org

Registration Form I want to be a Platinum Sponsor for $2,500

Includes company name and logo featured on all 18-hole sponsorship signs as the 2018 NWPC Golf Classic sign sponsor, recognition in materials and foursome.

I want to be a Gold Sponsor for $2,000 Includes floating green hole sponsorship, recognition in program materials and foursome.

I want to be a Hole Sponsor for $500 Includes company name on hole sign (excludes hole #14)

I want to play golf (individual or foursome).

Golfer’s Name (please print) Amount (where possible, please list golfers in teams of two or four) ($189/player)

_________________________________________________________ ____________

_________________________________________________________ ____________

_________________________________________________________ ____________

_________________________________________________________ ____________

A la Carte Options

Scramble Pack $40 __________ ($50 value includes 2 mulligans, lunch, 1 drink ticket)

Lunch $20 __________ (non-attendee)

Mulligans 1 for $10 _________ or 3 for $20 __________

Drink Ticket $10 __________

Late Charge (after 5/1) __________

Total __________

Payment Information

Name on card _______________________________________________

Card # _____________________________________________________

Exp. Date _______________________ 3-Digit Code ________________

Please complete and return this form by May 1, 2019 (5/1/19), along with payment information or check made out to WSPA. There will be a $50 late fee after 5/1/19.

Send to: WSPA, 411 Williams Avenue South, Renton, WA 98057 or email to Akilah@wsparx.org or fax to (425) 277-3897

NW Pharmacy Convention Golf Classic, June 1st