Workshop Prospectus
and
Hilton Waikoloa Village • Hawaii’s Big Island
Meeting Dates
January 16-22, 2016
Reach more than
1,200
ophthalmic professionals
Workshop Dates
January 18-20, 2016 • Comprehensive Ophthalmologists • Retina Specialists • Nurses • Administrators
W o r k s h o p I n f o r m at i o n Workshop opportunities available: Monday, January 18 6:30 am – 7:30 am
Breakfast Program
7:30 am – 12:00 pm
General Sessions
12:00 pm – 1:00 pm
Lunch Program
2:00 pm – 4:00 pm
Workshops
5:00 pm – 6:00 pm
Banyan Tree Session
Tuesday, January 19
Host an educational workshop with your target audience Workshops are a successful and valuable component of this comprehensive educational meeting and something that attendees look forward to participating in each year. Workshops can be held Monday through Wednesday from 2:00 pm – 4:00 pm (maximum length is two hours). Most workshop rooms can hold a maximum of 30 people; please contact us for special space considerations. Workshops are not CME-certified. Topics, speakers and material are selected and provided by the exhibiting company and are subject to the approval by the program committee. Workshop faculty must register for the main meeting.
Workshop Fee
6:30 am – 7:30 am
Breakfast Program
7:30 am – 12:00 pm
General Sessions
12:00 pm – 1:00 pm
Lunch Program
Promotions included with your workshop fee:
2:00 pm – 4:00 pm
Workshops
5:00 pm – 6:00 pm
Banyan Tree Session
• Access to the Hawaiian Eye and Retina 2016 attendee pre-registration list. • Workshop listed in pre-meeting promotions: brochure, email and website. • Workshop listed on onsite promotions: program book and signage.
Wednesday, January 20 6:30 am – 7:30 am
Breakfast Program
7:30 am – 12:00 pm
General Sessions
12:00 pm – 1:00 pm
Lunch Program
2:00 pm – 4:00 pm
Workshops
5:00 pm – 6:00 pm
Banyan Tree Session
$4,000.00 + 4.16% HI Excise Tax = $4,166.40 Total per workshop
Application deadline: October 30, 2015 Once we receive your completed application (incomplete applications will not be processed), it will then be submitted to the program committee for approval. Applications received after October 30 may not appear in the Hawaiian Eye promotional materials. Once your workshop application has been approved, we will send you a confirmation letter with your room assignment and information on an audio-visual contact. With its outstanding didactic program combined with exceptional hands-on workshops and cutting-edge topics, Hawaiian Eye 2016 promises to present the best educational value in ophthalmology. We look forward to working with you on this exciting program!
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W o r k s h o p A p p l i c at i o n
Workshop Dates: January 18-20, 2016 • Hilton Waikoloa Village Company Name_________________________________________________________________________________________________________________________ Contact Name___________________________________________________________________________________________________________________________ Address________________________________________________________________________________________________________________________________ City______________________________________________
State ______________________ Zip___________________________________________________
Phone w/ Ext.______________________________________
Fax _______________________________________________________________________________
E-mail _________________________________________________________________________________________________________________________________
Workshop Leader Name(s): ______________________________________________________________________________________________________________ Faculty Name(s):________________________________________________________________________________________________________________________ Workshop Title: (as you would like it to appear in promotional materials)___________________________________________________________________________ Workshop Description: (as you would like it to appear in promotional materials)_____________________________________________________________________ ______________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________
Notice: All workshops will be assigned on a first-come first-served basis. Workshop locations will be assigned at the Hilton Waikoloa Village. Rooms will be set in theater style to ensure maximum capacity. Should you require a different room set please let us know and every effort will be made to accommodate your request.
Target Audience: ❑ Comprehensive Ophthalmologists ❑ Administrators ❑ Retina Specialists
❑ Nursing/Allied Health
Level: ❑ Basic
Number of workshops: _______________ ❑ Intermediate ❑ Advanced
Total cost:___________________________ ($4,000.00 + 4.16% HI excise tax = $4,166.40 Total per workshop)
Teaching Methods: ❑ Lecture
❑ Workshop ❑ Panel
❑ AV/Slides/Video
❑ Wetlab
Payment Information
Preferred Date: (Your day will be confirmed when room assignments have been made)
❑ Enclosed is my check payable to “Hawaiian Eye 2016” paid in U.S. dollars, drawn on a U.S. bank.
❑ Monday, ❑ Tuesday, ❑ Wednesday, January 18 January 19 January 20
Please bill my (Check one):
________________________________________________________________
Duration: ❑ 1 hour
❑ Visa ❑ MasterCard ❑ American Express
Account Number Exp.
❑ 1.5 hours
❑ 2 hours
What is your projected attendance?__________________________________
________________________________________________________________ Security Code Exp. Date
________________________________________________________________ Signature
Contact us
Call: Stephanie Burleigh • 1-800-257-8290, ext 337 Fax to: Attn: Stephanie Burleigh • 856-848-3522 Mail to: Attn: Stephanie Burleigh • Hawaiian Eye Workshops • 6900 Grove Road • Thorofare, NJ 08086-9447 Email: Attn: Stephanie Burleigh •
[email protected] 15-0489
