Vendor Application

Thank you for your interest in becoming a vendor!
Please fill out the form below and one of our team members will reach out to you!

Basic Information:

Company Name:

First Name:

Last Name:

Mobile:

Email:

Company Contact Information:

Street Address:

City:

State:

Zip Code:

Work Phone:

Extension:

Website:

Company Services:

What services do you provide: (please select all that apply):

Office/ Admin (Back Office)Payroll ServicesInformation TechnologyPharmacyDietaryHousekeepingMaintenance/ building/ environmental servicesTherapyAncillary Services (Specify Below)Central/ Nursing/ Medical SuppliesEquipmentConstructionMarketing CollateralTransportationOther (Specify Below)

What organizations do you service:

Assisted LivingManagement CompanyCCRC (Continuing Care Retirement Community/Life Plan Community)Consulting CompanyGPOHome Health AgencyInpatient Rehabilitation Facility/UnitLong Term Care Hospital (LTCH)Nursing HomePalliative/Hospice Care FacilityRehabilitation Facility (Freestanding)Retirement CommunitySenior Living CommunitySkilled Nursing FacilityOther

What regions do you service?

Tri - State AreaEast CoastWest CoastMidwestSouthNorth EastOther

Who are your direct competitors?

What sets you apart from your competition?

What educational value can your company offer to our SHOPP members?
Please give us as much information as you can. If you'd like, upload a file with detailed information about your company's services for us to review.

What level of sponsorship are you interested in:

Gold ($10,000)Platinum ($25,000)Diamond ($50,000)

Gold

$ 10,000
  • Company name on website
  • Social Media Posting Prior & Post of Symposium
  • Attendance list after conference, no emails
  • Two tickets to symposium
  • 1 SHOPP Membership (only applicable to operators)
  • A la carte sponsorships as available (CHOOSE FROM THE BELOW)

Platinum

$ 25,000
  • Company name and logo on website
  • Social Media Posting Prior & Post of Symposium
  • Attendance list prior to conference, no emails
  • Three tickets to symposium
  • 4 SHOPP Membership (only applicable to operators)
  • A la carte sponsorships as available (CHOOSE FROM THE BELOW)
  • 10% SHOPPing discount on A LA Carte Menu.

Diamond

$ 50,000
  • Company name, bio and logo on website
  • Social Media Posting Prior & Post of Symposium
  • Attendance list prior to conference and emails
  • Four tickets to symposium
  • 10 SHOPP Membership (only applicable to operators)
  • A la carte sponsorships as available (CHOOSE FROM THE BELOW)
  • 20% SHOPPing discount on A LA Carte Menu.
  • Potential leadership of focused roundtable

A LA Carte Menu:

$5,000

Snack (3) (Wednesday morning/Wednesday afternoon/Thursday morning) $5 Each

$7,500

Charging station (1) $7.5 KDrink station $7.5K

$10,000

Breakfast (Wednesday) $10KBreakfast (Thursday) $10KLunch (Thurs) $10K

$15,000

Lunch (Wednesday) $15KCocktail Party (1) (Wed) $15K

$20,000

Dessert with Entertainment (Wed) $20KApp Sponsorship $20K

$25,000

Welcome Reception (1) (Tues) $25K

$30,000

Dinner (Wednesday) $30K

Have a question? Fill out the form below: