Mississippi Independent Nursing Home Association

Mississippi Independent Nursing Home Association
"Beyond The Horizon"
Summer Conference 2010

JUNE 2 – 4, 2010

The Beau Rivage Resort & Casino

Biloxi, Mississippi

Name of Business/Company:*

Address:*

City:*

State:*

Zip:*

Email:*

Vendor Exhibit Cost:

Associate Business Members: $500.00

Non-Members: $700.00

(New Membership Year started September 2009)

Payment included:*

$500

$700

Other (Sponsorship)

Name of Person/s Attending:

(3 included in registration, additional $100.00 each; 3 included in dinner at Mary Mahoney’s Restaurant Meet and Greet, additional $75.00 each)

Provided: Table, chairs and table skirt

Additional Request can be made at Vendors expense:

* Indicates required fields

Set Up Date and Time:

Tuesday, June 1, 2010

12:00 p.m. – 5:00 p.m.

Exhibit Hours:

Wednesday, June 2, 2010

8:00 – 8:30 Breakfast Exhibit Hall

10:00 – 10:30 Break Exhibit Hall

12:00 - 1:30 Lunch Exhibit Hall

3:00 – 3:30 Break Exhibit Hall

Take down Date and Time:

Wednesday, June 2, 2010 following the Break at 3:30 p.m.

Fax:

601-928-5807

Mail to:

Independent Nursing Home Association

P.O. Box 787

Wiggins, MS 39577

Questions: Alicia Johnson at Driftwood Nursing Center (228) 868-1314 or Alice Mitchell at (601) 862-8070