Santa Ana Star Casino Hotel 54 JEMEZ CANYON DAM ROAD, SANTA ANA PUEBLO, NM 87004

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1 2019 NEW MEXICO FUNERAL SERVICE ASSOCIATION Annual Convention MARCH 7 TH AND 8 TH 54 JEMEZ CANYON DAM ROAD, SANTA ANA PUEBLO, NM REGISTER NOW!

2 March 7 th and 8 th SPONSORSHIP OPPORTUNITIES Name on brochure Name on display posters Three-minute introduction scheduled during vendor night in addition to once scheduled during convention Company name and logo on video screen backdrop individually as a platinum sponsor during intermissions and non-presentations Large logo on goodie bag Half-page ad printed and recognized as a sponsor in each NMFSA newsletter for one year (must provide ad quarterly) GOLD Name on brochure Name on display posters Two-minute introduction scheduled during vendor night Company name and logo on video screen backdrop as a gold sponsor during intermissions and nonpresentations Small logo on goodie bag Logo printed and recognized as a sponsor in each NMFSA newsletter for one year SILVER Name on brochure Name on goodie bag Name on display posters TURQUOISE Name on brochure 1. SPONSOR INFORMATION Company Name Contact Person Mailing Address Phone Description of your services PLEASE RETURN A COPY OF THIS REGISTRATION AND PAYMENT IN THE FORM OF CHECK TO: P.O. Box 25023, Albuquerque, NM SAVE A COPY FOR YOUR RECORDS

3 March 7 th and 8 th 2. TOTAL AMOUNT DUE Turquoise Sponsor: $300 Silver Sponsor: $600 Gold Sponsor: $1,000 Platinum Sponsor: $1,500+ All sponsorship registrations are due by February 1st. All amounts paid are nonrefundable. 100% of the total amount due is required with registration. Funds not received by the deadline will result in forfeiture of sponsorship and all funds received until that point remain property of the New Mexico Funeral Service Association (NMFSA). 3. SPONSORSHIP AGREEMENT Upon receipt of the registration form by the NMFSA and acceptance by the NMFSA, this registration shall become a binding contract between the Sponsor and the NMFSA. The Terms and Conditions set forth are hereby incorporated by reference. By signing below, all conditions stated within this contract are agreed upon. Signature Questions or concerns can be addressed to Elizabeth Zeig or Amanda Valenzuela care of the New Mexico Funeral Service Association, nmfuneralserviceassocation@gmail.com. It is not too late to become a 2019 NMFSA member and/or reserve an exhibition table at the upcoming convention! See the attached vendor and member registration forms. SAVE A COPY FOR YOUR RECORDS

4 March 7 th and 8 th EXHIBIT SPACE REGISTRATION/CONTRACT 1. EXHIBITOR INFORMATION Company Name Contact Person Mailing Address Phone Description of your services 2. EXHIBIT REPRESENTATIVES Please print neatly the following information exactly as it should appear on your Exhibitor Badges. Two representatives included in standard fees per exhibitor space. Additional representatives and/or family members ($125 each) 3. EXHIBIT DECORATOR A decorator is not provided. You are responsible for unloading, setup, and clean up of your own space. 4. HOTEL INFORMATION Please stay at the Santa Ana Star Hotel to ensure your best experience. Enjoy networking with other suppliers and funeral directors. Call (844) to reserve your room at the discounted rate of $ per night using promo code 327. PLEASE RETURN A COPY OF THIS REGISTRATION AND PAYMENT IN THE FORM OF CHECK TO: P.O. Box 25023, Albuquerque, NM EXHIBIT SPACE OPTIONS NMFSA Members: $ per table Nonmembers: $750.00* per table Each table is 8 in length. *It is not too late to become a 2019 NMFSA member and pay the reduced rate! For only $575 your company can become a member and reserve a table at the upcoming convention. See the attached member registration form. 6. TOTAL AMOUNT DUE The total amount due is required with registration no later than February 22 nd. Registration after February 22 nd will be determined on a case by case basis depending upon space limitations. There is no guarantee of available space beyond the set date. Space permitting, a late fee of an additional $250 will be assessed. No exhibitor is entitled to space on the day of convention without receipt of full payment. x = Rate per table No. of tables requested Subtotal x $125 = No. of addt l reps Total due Do not miss the opportunity to become a turquoise, silver, gold, or platinum level sponsor! See the attached sponsorship form for details. 7. RESERVATION AGREEMENT Upon receipt of the registration form by the NMFSA and acceptance by the NMFSA, this registration shall become a binding agreement between the Exhibitor and the NMFSA. The Terms and Conditions set forth are hereby incorporated by reference. The Exhibitor acknowledges that none of the exhibit space fee is refundable. Signature SAVE A COPY FOR YOUR RECORDS

5 March 7th and 8th The 2019 Convention offers attendees the opportunity to network with other funeral service professionals and funeral product vendors. Interactive Q & A sessions are scheduled with industry-impacting professionals such as The Office of the Medical Investigator, New Mexico Vital Records, and more. Meet funeral director and author Caleb Wilde and receive a copy of his book, Confessions of a Funeral Director: How the Business of Death Saved My Life. Hear Caleb and others speak about industry specific topics central to our unique profession. CEUs are offered and will be distributed at the completion of each session/presentation. Register now! NMFSA Members $80 per attendee This includes individual NMFSA members as well as all staff members of member firms Nonmembers $100 per attendee Registration as a 2019 NMFSA member will entitle you to the lower rate of $80! Please see the attached member registration form to register as an individual or firm Please annotate the number of individuals planning to attend the 2019 Convention and review your payment options. The number of attendees registered is per day. All attendees must stop by the registration booth upon entry to the convention each day to receive a name badge for admission. The attendees for Friday s presentations need not be the same attendees as Thursday s events. This is at the discretion of the individuals/firms. MEMBERS ONLY NONMEMBERS Number of attendees Number of attendees (multiply by) $80 (multiply by) $100 Total payment due Total payment due Please list at least one address to receive confirmation of registration and other pertinent convention information: Mail completed registration form with check to: P.O. Box Albuquerque, NM Please stay at the Santa Ana Star Hotel to ensure your best experience. Call (844) to reserve your room and mention reservation code 327.

6 NEW MEXICO FUNERAL SERVICE ASSOCIATION P.O. Box 25023, Albuquerque, NM Phone: (505) Fax: (505) MEMBERSHIP APPLICATION Dues good through March 2020 Is this a renewal? Yes No If yes, you are welcome to complete only the information that has changed. Please make checks/money orders payable to: NM Funeral Service Association Firm Membership Select the annual caseload that applies to your firm <100 cases: $ cases: $350 >500 cases: $600 Firm Name Contact: Full Name First M.I. Last License No. Mailing address Phone No. Street Address City State Zip Code Please list any other addresses you would like correspondence ed to and be advised that correspondence will be sent only to those listed on this form. Please attach a list of all Funeral Service Practitioners and Funeral Service Interns (General and Direct) that are licensed under your firm or complete the list provided on page 2. If you are renewing membership, you are welcome to list only the changes to your staff. Your application will not be processed without this information. Individual Membership Select your level of licensure Funeral Svc Practitioner: $75 Intern/Student: $50 Non-licensee: $50 Full Name First M.I. Last License No. Mailing address Street Address City State Zip Code Phone No. Question or concerns? Please contact the using the contact information above or via at nmfuneralserviceassociation@gmail.com. 1

7 Vendor Membership Flat-rate membership for all vendor members: $75 Company Name Representative: Full Name Mailing address Phone No. First M.I. Last Street Address City State Zip Code Please list any other addresses you would like correspondence ed to and be advised that correspondence will be sent only to those listed on this form. Firm Membership REQUIRED ADDITIONAL INFORMATION Please attach a list of all Funeral Service Practitioners and Funeral Service Interns (General and Direct) that are licensed under your firm or complete the following list. If you are renewing membership, you are welcome to list only the changes to your staff. 2