PHIMA | Pennsylvania Health Information Management Association

"Sweet New Adventures"

Exhibitor Registration Form - Payment

Pay Online by Credit Card

Select "Add to Cart" below and then select "credit card" from the payment options.

After you submit online payment, you will receive an e-mail receipt from KnowledgeConnex, PHIMA's online registration provider. These items will appear as charges from KnowledgeConnex on your credit card statement.

Pay by Check

Select "Add to Cart" below and then select Printable Order Form (mail orders) from the payment options. You will later see instructions to print the invoice and mail your payment to KnowledgeConnex, PHIMA's online registration provider. Make your check payable to KnowledgeConnex.

You will receive an email invoice from KnowledgeConnex after your order is submitted.

If you need a W-9, please click here.

Select "Add to Cart" below to process your credit card transaction.

Booth	Cost
New this year! President's Reception (Monday evening) and Networking with Peers Reception (Tuesday evening) are included in the booth fees below. Basic Single Booth Corporate Sponsor - Click Here For Discount Information
On or Before 2/1/10	$650	Unavailable
After 2/1/10	$775
Premier Single Booth Corporate Sponsor - Click Here For Discount Information
On or Before 2/1/10	$1200	Unavailable
After 2/1/10	$1,375
Double Premier Booth Corporate Sponsor - Click Here For Discount Information - Gold Corporate Sponsors Only
On or Before 2/1/10	$1500	Unavailable
After 2/1/10	$1,675

Additional Tickets	Cost
Basic Single Booth - 2 tickets included for each event listed below Premiere Single Booth - 3 tickets included for each event listed below Double Premiere Booth- 4 tickets included for each event listed below
Tuesday Morning Breakfast with Vendors	$20
Tuesday Vendor Appreciation Luncheon	$25
Wednesday Business Meeting and Installation of Officers Luncheon (Not included in booth fee. Additional tickets must be purchased)	$25
Sponsorship	Cost
Monday Afternoon Break	$500 SOLD
President’s Reception (Monday)	$2,500
President's Reception Entertainment	$500 SOLD
Tuesday Breakfast	$1,000
Networking with Peers Reception (Tuesday)	$1,500
Wednesday Luncheon	$1,500
Keynote Speaker (Monday or Tuesday)	$1,500
Product Donation – Name Tag Neck Wallets (with your Company Logo)	$1500
PHIMA Scholarship Donation - per student	$500
Binder/Bag	$2500 full
	$1500 partial
Speaker	$300
Donations for events your company does not want to fully sponsor (i.e. President reception entertainment, bags, etc).
Other Sponsorship Amount $
Balance Due - For Previously Registered Vendors
Enter balance due	$