13
Introduction Four out of 5 ophthalmologists surveyed say they rely on their ophthalmic technicians to recommend and purchase software, equipment, and other merchandise for their office. The Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO ® ) and the Association of Technical Personnel in Ophthalmology (ATPO ® ) are your gateway to reaching them! Marketing your products and services with us will enhance your company’s image and increase your brand presence in the field of ophthalmology, all while helping an educational, non-profit organization fulfill its mission to “enhance the quality and availability of ophthalmic patient care.” The continuing evolution of print, digital media and online advertising allows us to offer numerous media options throughout the year for your company. We are dedicated to designing a custom media package to best suit your marketing mix and budget. Please take a moment to review all of the different marketing and advertising opportunities in this Media Kit. Don’t see what you want listed here? Give us a call to create your personalized opportunity! Direct monetary donations that offset JCAHPO & ATPO’s educational expenses are also greatly appreciated. If a direct donation is your preferred method of support, JCAHPO & ATPO will provide recognition in print & online media as well as onsite during Continuing Education Programs, if applicable. (800) 284-3937 · www.jcahpo.org Association of Technical Personnel in Ophthalmology Ophthalmologists rely on ophthalmic technicians to recommend and purchase: software equipment merchandise for the office

Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

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Page 1: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

Introduction

Four out of 5 ophthalmologists surveyed say they rely on their ophthalmic technicians to recommend and purchase software equipment and other merchandise for their office The Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) and the Association of Technical Personnel in Ophthalmology (ATPOreg) are your gateway to reaching them Marketing your products and services with us will enhance your companyrsquos image and increase your brand presence in the field of ophthalmology all while helping an educational non-profit organization fulfill its mission to ldquoenhance the quality and availability of ophthalmic patient carerdquo

The continuing evolution of print digital media and online advertising allows us to offer numerous media options throughout the year for your company We are dedicated to designing a custom media package to best suit your marketing mix and budget Please take a moment to review all of the different marketing and advertising opportunities in this Media Kit Donrsquot see what you want listed here Give us a call to create your personalized opportunity

Direct monetary donations that offset JCAHPO amp ATPOrsquos educational expenses are also greatly appreciated If a direct donation is your preferred method of support JCAHPO amp ATPO will provide recognition in print amp online media as well as onsite during Continuing Education Programs if applicable

(800) 284-3937 middot wwwjcahpoorg

Association of Technical Personnel in Ophthalmology

Ophthalmologists rely on ophthalmic technicians to recommend and purchase

software

equipment

merchandise for the office

ACE Program Recognition LevelsAll corporate supporters will be listed in the online Virtual Exhibit Hall and in the ACE Program Bulletin JCAHPO and ATPO also offer special recognition benefits to organizations based on support level

JCAHPOrsquos Annual Continuing Education (ACE) Program is held in conjunction with the American Academy of Ophthalmologyrsquos (AAO) Annual Meeting each fall This combination creates the largest and most successful platform in the field of ophthalmology Sponsoring an event at ACE is a great way to highlight your companyrsquos commitment to eye care education

- ACE Attendees - over 2000

- ACE Website Views - over 30000

- ACE Bulletin mailed annually to over 40000 ophthalmic professionals and ophthalmologists

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

October 14-16 2016 Chicago ILHyatt Regency Chicago

Platinum Level $10000 amp higher

Gold Level $5000 - $9999

Silver Level $250 - $4999

Banne

r ad o

n

ACE Web

site

Banne

r ad i

n

Fall N

ewsle

tter

Recog

nition

at

Awards

Rec

eptio

n

and S

tein

Lectu

re

On-site

sign

age

Listin

g of a

ddre

ss

phon

e an

d web

addr

ess (

linke

d)

in th

e Virt

ual

Exhib

it Hall

Attendee Tote Bags $10000

Description This is a great opportunity to give attendees something they will continue to use long after the program (JCAHPO selects and orders the bag)

Benefit Turn attendees into walking billboards for your company

Materials Due June 30

Exhibit Table $1800 (2 days)

Description Send a company representative to staff an exhibit table for two days Saturday and Sunday for personal contact with your target market Space is limited Register Early

Benefit Get up close and personal with thousands of ophthalmic professionals

Personalized Pens $2500

Description Pens are inserted into every attendeersquos tote bag

Benefit Put your company logo and message in the hands of every single attendee

Materials Due June 30

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

Your NameLogo Here

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

Tote Bag Flyer Inserts $2000 per insert

Description Your companyrsquos brochure or flyer will be inserted into every tote bag for attendees

Benefit This is your chance to introduce your company to the attendees and give them information to take back to the office

Materials Due Provide inserts loose and unwrapped by September 1

Membership Benefits

Join Today at wwwatpoorg (800) 482-4858

Association of Technical Personnel in Ophthalmology

Support Beyond CertificationFocused on your future

bull Earn 5 FREE Continuing Education credits

bull Viewpointsreg Magazine

bull Reduced rates for educational opportunities

bull Free Salary Survey

bull Professional support and growth opportunities

bull Discounts on COAreg COTreg and COMTreg Flash Cards

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel

Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certificationJCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals ProfessionalldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified Ophthalmic Assistant

ldquoBe Seenrdquo Broadcast $2500

Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop for three days

Benefit ldquoCommercial Spotsrdquo are shown more than 600 times in all classrooms common areas registration and online during the ACE Program

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due September 1

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the

JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment

Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________

Signature

Please send me information on how I may reduce my estate

taxes through a permanent Legacy Gift to the JCAHPO

Education amp Research Foundation

Thank You

Your gift to the JCAHPO Education and Research

Foundation is greatly appreciated Through generous

support from individuals such as you advances

continue to be made in the fi eld of eye care and talented

professionals receive the training they need to deliver

this care to people across the globe well into the future

Consult with your tax professional as your gift to

our 501(c)(3) nonprofi t foundation may be fully tax-

deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient Care

More than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye

glasses or contacts including

bull Cataracts

bull Diabetic retinopathy

bull Glaucoma

bull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is

expected to increase by nearly 20 in the next several

decades But in spite of this projected growth neither

the number of ophthalmologists or ophthalmic medical

technicians (OMT) is expected to increase at this same

fast pace

The Need for OMT

Ophthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important

patient diagnosis and treatment The contributions of

highly skilled certifi ed OMT enable ophthalmologists

and clinics to function more effi ciently They are an

important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions

of highly skilled

certifi ed OMT enable

ophthalmologists and

clinics to function

more effi cientlyrdquo

Advantages of Certifi ed OMT

Four out of 5 ophthalmologists believe

that certifi ed OMT make their practice

more effi cient through

bull Triage screening

bull Trouble shooting

bull Increase in number of patients

seen per hour

bull Effective patient fl ow

bull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

ACE Program Bulletin AdPrice varies - see below for details

Description This is the comprehensive guide for the entire ACE Program distributed to more than 40000 ophthalmic professionals including ophthalmologists ophthalmic technicians and clinic managers The Bulletin is also viewed online over 30000 times every year

Benefit Every attendee will have your company logo and message close at hand throughout the entire program Space is limited take advantage of being one of the premier advertisers

Materials Due June 1

Options Size Trim Size Bleed Size ColorBW Price

Sponsor Entire BulletinName and Logo

Recognition- Front cover 8375 x 10875 8625 x 11125 4-Color $10000Inside Front Cover Full Page 8375 x 10875 8625 x 11125 4-Color $5000

Outside Back Cover 34 Page 8375 x 675 8625 x 6875 4-Color $5000Inside Back Cover Full Page 8375 x 10875 8625 x 11125 4-Color $3500

Inside PagesFull Page 8375 x 10875 8625 x 11125 BW $150012 Page 75x5 NA BW $750

Day-at-a-glance Full Panel 175 x 975 NA BW $500

ACE Program Bulletin Mechanical and Digital Requirements

File specifications CMYK or Grayscale pdf tif jpg 300 dpi or greaterFor more information contact the Communications Coordinator at 651731-7238

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing OpportunitiesRolling Banner Ad on ACE Website Home Page $3500

Description A continuous rolling ad on the ACE Website home page gives your company unique widespread coverage for months leading up to and during the event

Benefit This includes logo message and a direct link to your website

Materials Due June 30

Video Specifications Flash 610 px wide by 285 px tall 24 fps (frames per second) 7-10 seconds in length or JPEGPNG 610 px wide by 285 px tall 72dpi

JCAHPOATPO

44th Annual ContinuingEducation Program

Hyatt Regency Chicago

New Venue

Date

the

OCTOBER 14-16 2016

SaveNew

Dates

Keynote Lecture $5000

Description This is the highlight of the ACE Program Be the official sponsor of the Keynote Lecture which is free to all ACE attendees

Benefit Includes onsite signage verbal acknowledgement during the introduction by JCAHPOrsquos President special listing in the program bulletin and company logo and message on screens before and after the lecture

Sub-Specialty Sessions $3000

Description Each year high quality specialty courses are selected to get attendees excited about their professional development These very popular courses fill up fast and are a great way to show your companyrsquos commitment to high quality ophthalmic education Contact JCAHPO for this yearrsquos area topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Workshops $500 per workshop (Call for multiple workshop pricing)

Description Sponsor a hands-on training course with products that your company makes Contact JCAHPO for current course topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

ACE Program Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

2014 ACE Program Keynote Speaker Hunter Cherwek MD

- with Marc Lafontaine COMTldquoORBIS INTERNATIONAL

It Starts with Visionrdquo

2015 ACE Program Keynote Speaker Rebecca Alexander

ldquoNot Fade Awayrdquo

ATPOrsquos three-day Annual Meeting is held in conjunction with JCAHPOrsquos ACE Program and the AAOrsquos Annual Meeting

Scientific Session $6200Description Sponsoring this day of highly attended courses including the popular ldquoWho Wants to be a SuperTechrdquo is a great way to show your support of this high-quality ophthalmic education

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Grand Rounds $5000Description Grand Rounds is a popular series of courses featuring innovative topics and presenters Make your impact at the highlight of the ATPOrsquos Annual Meeting

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Keynote Lecture $2000Description Sponsoring the ATPO Keynote Lecture demonstrates your companyrsquos commitment to providing quality resources for the eye care industry

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Membership Reception $3500Description Help bring together ATPO members in a celebration of the profession by being the official sponsor of the ATPO Membership Reception

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Certification Exam Review Sessions $2000 per sessionDescription Exam Review Sessions are a popular series of courses for ophthalmic technicians to help them prepare for upcoming certification examinations Sponsorship of these sessions highlights your companyrsquos dedication to certification and standards of training

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Refreshment Breaks - Scientific Session $1600Description Your company will be listed as the provider of the refreshment breaks

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

Sunrise Welcome $1600Description Kickoff the ATPO events Your company will be listed as the provider of breakfast

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

ldquoBe Seenrdquo Broadcast $500Description ldquoCommercial Spotsrdquo are available that feature your static ad amp logo or a video clip on a continuous loop

Benefit ldquoCommercial Spotsrdquo are played in the classroom through out the day

Materials Due August 1

Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

ATPO Annual Meeting Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

Association of Technical Personnel in Ophthalmology

Year-Round Marketing Opportunities

Regional CE Programs JCAHPO and ATPO offer monthly CE Programs across the country which allow you the opportunity to reach more ophthalmic professionals more often and in more places

Regional Program Brochure $1000 (per program)Description Cover page placement of your black and white logo andor inside frac14 page black and white ad

Circulation The Regional CE Program brochures are mailed amp emailed to thousands of ophthalmic professionals through out the year The brochure is available on the JCAHPO Website

Benefit Visibility in the comprehensive guide for the Regional CE Program available in print and online

Materials Due Varies by date of program call for details

Specifications Cover 35rdquox75rdquo Inside 375rdquox275rdquo

Onsite Flyers or Brochures $2000 (per program)Description Your company brochure or flyer handed out to every attendee

Benefit Give attendees information to take back to the office

Materials Due 3 weeks before the program

JCAHPOreg 2025 Woodlane Drive St Paul MN 55125 bull (800) 284-3937 bull Fax (651) 731-0410 bull wwwjcahpoorg

Registration FormRegistration form may be duplicated Please use one form per registrant

North Carolina Continuing Education Program11 JCAHPO Credits

Registration Deadline

September 10 2012

middot Course fees include JCAHPO CE credits continental breakfast lunch and refreshments during breaksmiddot A processing fee of $7500 will be deducted from each cancelled registrationmiddot If your registration total is less than $7500 no refunds will be made ATPO Memberships are non-transferable and non-refundablemiddot All cancellations and requests for refunds must be received by JCAHPO in writing no later than September 10 2012 No refunds will be granted after that date

regardless of the reason unless the conference is cancelled by JCAHPOmiddot Fees paid in American currency checks bank drafts drawn on US banks VISA MasterCard Discover or American Express are accepted Registration by fax or online

is accepted if fees are charged to a credit cardmiddot A link to course handouts will be e-mailed to registrants one week prior to the meeting date

Please PRINT clearly using blue or black ink

Name Professional Credentials

JCAHPO IDATPO Member Date of Birth (mmddyy)

Home Address

City State (Province) Zip (Postal Code) Country

Home Telephone ( ) E-mail (required for handoutsevaluations)

PracticeBusiness

Address

City State (Province) Zip (Postal Code) Country

Work Telephone ( ) Fax ( )

PAyMENT INFORMATION

o Check enclosed (payable to JCAHPO US Funds) o VISA o MasterCard o Discover o American Express

The following information is required to process credit card orders

______________-______________-______________-______________ __________________ _______ _______ ____________________Credit Card Number Security Code Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address

Name as it appears on credit card (please print)

Cardholderrsquos Signature X

(3 or 4 digits on front or back of credit card)

A link to course handouts will be e-mailed to registrants one week prior to the meeting date

I wish to register forAll check payments must be in US funds and drawn on a US bank

o Registration o One-year ATPO Membership (receive ATPO member price) $7500o JCAHPO Certified or ATPO Members $19500o Other registrants $22000

o Group discount o JCAHPO Certified or ATPO Members $18500o Other registrants $21000

o Additional Onsite Registration Fee $5000 Fee added to any registration package selected when purchased onsite

o Please add a $_________contribution to the JCAHPO Education and Research Foundation $____________

TOTAl $____________

Group Discount applies when 3 or more OMP from one clinic register for a meeting Registration forms must be sent together

bull Register Online httpwwwjcahpoorgregistrationbull Mail form and payment to

JCAHPO - 2025 Woodlane Drive St Paul MN 55125bull Fax this completed form to (651) 731-0410 (Credit card charges only)

Special Dietary Needs Please indicate dietary restrictions belowo Kosher o Vegetarian o Gluten-free

IN CASE OF EMERGENCY PLEASE NOTIFY

______________________________ (_____) _______________ Name Telephone Number

Your Ad Here

2016 Regional CE Programs February 5 ATPOKCSee Regional Meeting

March 4 Salt Lake City UT ndash in conjunction with UOS

March 12 Costa Mesa CA

April 9 Rochester MN

April 30 Dallas TX

April 30 Glade Springs WV ndash in conjunction with WVAEPS

May 6-9 ASCRS New Orleans LA

May 13 Vancouver BC - in conjunction with BCEPS

June 4 Kiawah SC ndashin conjunction with MUSC Storm Eye Institute

June 10-11 Orlando FL ndash in conjunction with FSO

August 13 San Francisco CA - in conjunction with ASRS

September 17 Cleveland OH - in conjunction COPS and ATPO

September 23-24 Greensboro NC ndash in conjunction with NCSEPS

October TBD ATPO ndash Annual Buffalo CE Conference

October 14-16 Chicago IL ndash 44rd Annual ACE Meeting in conjunction with AAONovember 5 New York NY - in conjunction with OSN-NY

(800) 284-3937 middot wwwjcahpoorg

Your Logo Here

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________Signature

Please send me information on how I may reduce my estate taxes through a permanent Legacy Gift to the JCAHPO Education amp Research Foundation

Thank YouYour gift to the JCAHPO Education and Research Foundation is greatly appreciated Through generous support from individuals such as you advances continue to be made in the fi eld of eye care and talented professionals receive the training they need to deliver this care to people across the globe well into the future Consult with your tax professional as your gift to our 501(c)(3) nonprofi t foundation may be fully tax-deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient CareMore than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye glasses or contacts including

bull Cataractsbull Diabetic retinopathybull Glaucomabull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is expected to increase by nearly 20 in the next several decades But in spite of this projected growth neither the number of ophthalmologists or ophthalmic medical technicians (OMT) is expected to increase at this same fast pace

The Need for OMTOphthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important patient diagnosis and treatment The contributions of highly skilled certifi ed OMT enable ophthalmologists and clinics to function more effi ciently They are an important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions of highly skilled

certifi ed OMT enable ophthalmologists and

clinics to function more effi cientlyrdquo

Advantages of Certifi ed OMTFour out of 5 ophthalmologists believe that certifi ed OMT make their practice more effi cient through

bull Triage screeningbull Trouble shooting

bull Increase in number of patients seen per hour

bull Effective patient fl owbull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certification

JCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals Professional

ldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery

Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified

Ophthalmic Assistant

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 2: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

ACE Program Recognition LevelsAll corporate supporters will be listed in the online Virtual Exhibit Hall and in the ACE Program Bulletin JCAHPO and ATPO also offer special recognition benefits to organizations based on support level

JCAHPOrsquos Annual Continuing Education (ACE) Program is held in conjunction with the American Academy of Ophthalmologyrsquos (AAO) Annual Meeting each fall This combination creates the largest and most successful platform in the field of ophthalmology Sponsoring an event at ACE is a great way to highlight your companyrsquos commitment to eye care education

- ACE Attendees - over 2000

- ACE Website Views - over 30000

- ACE Bulletin mailed annually to over 40000 ophthalmic professionals and ophthalmologists

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

October 14-16 2016 Chicago ILHyatt Regency Chicago

Platinum Level $10000 amp higher

Gold Level $5000 - $9999

Silver Level $250 - $4999

Banne

r ad o

n

ACE Web

site

Banne

r ad i

n

Fall N

ewsle

tter

Recog

nition

at

Awards

Rec

eptio

n

and S

tein

Lectu

re

On-site

sign

age

Listin

g of a

ddre

ss

phon

e an

d web

addr

ess (

linke

d)

in th

e Virt

ual

Exhib

it Hall

Attendee Tote Bags $10000

Description This is a great opportunity to give attendees something they will continue to use long after the program (JCAHPO selects and orders the bag)

Benefit Turn attendees into walking billboards for your company

Materials Due June 30

Exhibit Table $1800 (2 days)

Description Send a company representative to staff an exhibit table for two days Saturday and Sunday for personal contact with your target market Space is limited Register Early

Benefit Get up close and personal with thousands of ophthalmic professionals

Personalized Pens $2500

Description Pens are inserted into every attendeersquos tote bag

Benefit Put your company logo and message in the hands of every single attendee

Materials Due June 30

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

Your NameLogo Here

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

Tote Bag Flyer Inserts $2000 per insert

Description Your companyrsquos brochure or flyer will be inserted into every tote bag for attendees

Benefit This is your chance to introduce your company to the attendees and give them information to take back to the office

Materials Due Provide inserts loose and unwrapped by September 1

Membership Benefits

Join Today at wwwatpoorg (800) 482-4858

Association of Technical Personnel in Ophthalmology

Support Beyond CertificationFocused on your future

bull Earn 5 FREE Continuing Education credits

bull Viewpointsreg Magazine

bull Reduced rates for educational opportunities

bull Free Salary Survey

bull Professional support and growth opportunities

bull Discounts on COAreg COTreg and COMTreg Flash Cards

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel

Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certificationJCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals ProfessionalldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified Ophthalmic Assistant

ldquoBe Seenrdquo Broadcast $2500

Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop for three days

Benefit ldquoCommercial Spotsrdquo are shown more than 600 times in all classrooms common areas registration and online during the ACE Program

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due September 1

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the

JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment

Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________

Signature

Please send me information on how I may reduce my estate

taxes through a permanent Legacy Gift to the JCAHPO

Education amp Research Foundation

Thank You

Your gift to the JCAHPO Education and Research

Foundation is greatly appreciated Through generous

support from individuals such as you advances

continue to be made in the fi eld of eye care and talented

professionals receive the training they need to deliver

this care to people across the globe well into the future

Consult with your tax professional as your gift to

our 501(c)(3) nonprofi t foundation may be fully tax-

deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient Care

More than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye

glasses or contacts including

bull Cataracts

bull Diabetic retinopathy

bull Glaucoma

bull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is

expected to increase by nearly 20 in the next several

decades But in spite of this projected growth neither

the number of ophthalmologists or ophthalmic medical

technicians (OMT) is expected to increase at this same

fast pace

The Need for OMT

Ophthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important

patient diagnosis and treatment The contributions of

highly skilled certifi ed OMT enable ophthalmologists

and clinics to function more effi ciently They are an

important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions

of highly skilled

certifi ed OMT enable

ophthalmologists and

clinics to function

more effi cientlyrdquo

Advantages of Certifi ed OMT

Four out of 5 ophthalmologists believe

that certifi ed OMT make their practice

more effi cient through

bull Triage screening

bull Trouble shooting

bull Increase in number of patients

seen per hour

bull Effective patient fl ow

bull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

ACE Program Bulletin AdPrice varies - see below for details

Description This is the comprehensive guide for the entire ACE Program distributed to more than 40000 ophthalmic professionals including ophthalmologists ophthalmic technicians and clinic managers The Bulletin is also viewed online over 30000 times every year

Benefit Every attendee will have your company logo and message close at hand throughout the entire program Space is limited take advantage of being one of the premier advertisers

Materials Due June 1

Options Size Trim Size Bleed Size ColorBW Price

Sponsor Entire BulletinName and Logo

Recognition- Front cover 8375 x 10875 8625 x 11125 4-Color $10000Inside Front Cover Full Page 8375 x 10875 8625 x 11125 4-Color $5000

Outside Back Cover 34 Page 8375 x 675 8625 x 6875 4-Color $5000Inside Back Cover Full Page 8375 x 10875 8625 x 11125 4-Color $3500

Inside PagesFull Page 8375 x 10875 8625 x 11125 BW $150012 Page 75x5 NA BW $750

Day-at-a-glance Full Panel 175 x 975 NA BW $500

ACE Program Bulletin Mechanical and Digital Requirements

File specifications CMYK or Grayscale pdf tif jpg 300 dpi or greaterFor more information contact the Communications Coordinator at 651731-7238

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing OpportunitiesRolling Banner Ad on ACE Website Home Page $3500

Description A continuous rolling ad on the ACE Website home page gives your company unique widespread coverage for months leading up to and during the event

Benefit This includes logo message and a direct link to your website

Materials Due June 30

Video Specifications Flash 610 px wide by 285 px tall 24 fps (frames per second) 7-10 seconds in length or JPEGPNG 610 px wide by 285 px tall 72dpi

JCAHPOATPO

44th Annual ContinuingEducation Program

Hyatt Regency Chicago

New Venue

Date

the

OCTOBER 14-16 2016

SaveNew

Dates

Keynote Lecture $5000

Description This is the highlight of the ACE Program Be the official sponsor of the Keynote Lecture which is free to all ACE attendees

Benefit Includes onsite signage verbal acknowledgement during the introduction by JCAHPOrsquos President special listing in the program bulletin and company logo and message on screens before and after the lecture

Sub-Specialty Sessions $3000

Description Each year high quality specialty courses are selected to get attendees excited about their professional development These very popular courses fill up fast and are a great way to show your companyrsquos commitment to high quality ophthalmic education Contact JCAHPO for this yearrsquos area topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Workshops $500 per workshop (Call for multiple workshop pricing)

Description Sponsor a hands-on training course with products that your company makes Contact JCAHPO for current course topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

ACE Program Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

2014 ACE Program Keynote Speaker Hunter Cherwek MD

- with Marc Lafontaine COMTldquoORBIS INTERNATIONAL

It Starts with Visionrdquo

2015 ACE Program Keynote Speaker Rebecca Alexander

ldquoNot Fade Awayrdquo

ATPOrsquos three-day Annual Meeting is held in conjunction with JCAHPOrsquos ACE Program and the AAOrsquos Annual Meeting

Scientific Session $6200Description Sponsoring this day of highly attended courses including the popular ldquoWho Wants to be a SuperTechrdquo is a great way to show your support of this high-quality ophthalmic education

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Grand Rounds $5000Description Grand Rounds is a popular series of courses featuring innovative topics and presenters Make your impact at the highlight of the ATPOrsquos Annual Meeting

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Keynote Lecture $2000Description Sponsoring the ATPO Keynote Lecture demonstrates your companyrsquos commitment to providing quality resources for the eye care industry

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Membership Reception $3500Description Help bring together ATPO members in a celebration of the profession by being the official sponsor of the ATPO Membership Reception

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Certification Exam Review Sessions $2000 per sessionDescription Exam Review Sessions are a popular series of courses for ophthalmic technicians to help them prepare for upcoming certification examinations Sponsorship of these sessions highlights your companyrsquos dedication to certification and standards of training

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Refreshment Breaks - Scientific Session $1600Description Your company will be listed as the provider of the refreshment breaks

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

Sunrise Welcome $1600Description Kickoff the ATPO events Your company will be listed as the provider of breakfast

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

ldquoBe Seenrdquo Broadcast $500Description ldquoCommercial Spotsrdquo are available that feature your static ad amp logo or a video clip on a continuous loop

Benefit ldquoCommercial Spotsrdquo are played in the classroom through out the day

Materials Due August 1

Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

ATPO Annual Meeting Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

Association of Technical Personnel in Ophthalmology

Year-Round Marketing Opportunities

Regional CE Programs JCAHPO and ATPO offer monthly CE Programs across the country which allow you the opportunity to reach more ophthalmic professionals more often and in more places

Regional Program Brochure $1000 (per program)Description Cover page placement of your black and white logo andor inside frac14 page black and white ad

Circulation The Regional CE Program brochures are mailed amp emailed to thousands of ophthalmic professionals through out the year The brochure is available on the JCAHPO Website

Benefit Visibility in the comprehensive guide for the Regional CE Program available in print and online

Materials Due Varies by date of program call for details

Specifications Cover 35rdquox75rdquo Inside 375rdquox275rdquo

Onsite Flyers or Brochures $2000 (per program)Description Your company brochure or flyer handed out to every attendee

Benefit Give attendees information to take back to the office

Materials Due 3 weeks before the program

JCAHPOreg 2025 Woodlane Drive St Paul MN 55125 bull (800) 284-3937 bull Fax (651) 731-0410 bull wwwjcahpoorg

Registration FormRegistration form may be duplicated Please use one form per registrant

North Carolina Continuing Education Program11 JCAHPO Credits

Registration Deadline

September 10 2012

middot Course fees include JCAHPO CE credits continental breakfast lunch and refreshments during breaksmiddot A processing fee of $7500 will be deducted from each cancelled registrationmiddot If your registration total is less than $7500 no refunds will be made ATPO Memberships are non-transferable and non-refundablemiddot All cancellations and requests for refunds must be received by JCAHPO in writing no later than September 10 2012 No refunds will be granted after that date

regardless of the reason unless the conference is cancelled by JCAHPOmiddot Fees paid in American currency checks bank drafts drawn on US banks VISA MasterCard Discover or American Express are accepted Registration by fax or online

is accepted if fees are charged to a credit cardmiddot A link to course handouts will be e-mailed to registrants one week prior to the meeting date

Please PRINT clearly using blue or black ink

Name Professional Credentials

JCAHPO IDATPO Member Date of Birth (mmddyy)

Home Address

City State (Province) Zip (Postal Code) Country

Home Telephone ( ) E-mail (required for handoutsevaluations)

PracticeBusiness

Address

City State (Province) Zip (Postal Code) Country

Work Telephone ( ) Fax ( )

PAyMENT INFORMATION

o Check enclosed (payable to JCAHPO US Funds) o VISA o MasterCard o Discover o American Express

The following information is required to process credit card orders

______________-______________-______________-______________ __________________ _______ _______ ____________________Credit Card Number Security Code Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address

Name as it appears on credit card (please print)

Cardholderrsquos Signature X

(3 or 4 digits on front or back of credit card)

A link to course handouts will be e-mailed to registrants one week prior to the meeting date

I wish to register forAll check payments must be in US funds and drawn on a US bank

o Registration o One-year ATPO Membership (receive ATPO member price) $7500o JCAHPO Certified or ATPO Members $19500o Other registrants $22000

o Group discount o JCAHPO Certified or ATPO Members $18500o Other registrants $21000

o Additional Onsite Registration Fee $5000 Fee added to any registration package selected when purchased onsite

o Please add a $_________contribution to the JCAHPO Education and Research Foundation $____________

TOTAl $____________

Group Discount applies when 3 or more OMP from one clinic register for a meeting Registration forms must be sent together

bull Register Online httpwwwjcahpoorgregistrationbull Mail form and payment to

JCAHPO - 2025 Woodlane Drive St Paul MN 55125bull Fax this completed form to (651) 731-0410 (Credit card charges only)

Special Dietary Needs Please indicate dietary restrictions belowo Kosher o Vegetarian o Gluten-free

IN CASE OF EMERGENCY PLEASE NOTIFY

______________________________ (_____) _______________ Name Telephone Number

Your Ad Here

2016 Regional CE Programs February 5 ATPOKCSee Regional Meeting

March 4 Salt Lake City UT ndash in conjunction with UOS

March 12 Costa Mesa CA

April 9 Rochester MN

April 30 Dallas TX

April 30 Glade Springs WV ndash in conjunction with WVAEPS

May 6-9 ASCRS New Orleans LA

May 13 Vancouver BC - in conjunction with BCEPS

June 4 Kiawah SC ndashin conjunction with MUSC Storm Eye Institute

June 10-11 Orlando FL ndash in conjunction with FSO

August 13 San Francisco CA - in conjunction with ASRS

September 17 Cleveland OH - in conjunction COPS and ATPO

September 23-24 Greensboro NC ndash in conjunction with NCSEPS

October TBD ATPO ndash Annual Buffalo CE Conference

October 14-16 Chicago IL ndash 44rd Annual ACE Meeting in conjunction with AAONovember 5 New York NY - in conjunction with OSN-NY

(800) 284-3937 middot wwwjcahpoorg

Your Logo Here

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________Signature

Please send me information on how I may reduce my estate taxes through a permanent Legacy Gift to the JCAHPO Education amp Research Foundation

Thank YouYour gift to the JCAHPO Education and Research Foundation is greatly appreciated Through generous support from individuals such as you advances continue to be made in the fi eld of eye care and talented professionals receive the training they need to deliver this care to people across the globe well into the future Consult with your tax professional as your gift to our 501(c)(3) nonprofi t foundation may be fully tax-deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient CareMore than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye glasses or contacts including

bull Cataractsbull Diabetic retinopathybull Glaucomabull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is expected to increase by nearly 20 in the next several decades But in spite of this projected growth neither the number of ophthalmologists or ophthalmic medical technicians (OMT) is expected to increase at this same fast pace

The Need for OMTOphthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important patient diagnosis and treatment The contributions of highly skilled certifi ed OMT enable ophthalmologists and clinics to function more effi ciently They are an important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions of highly skilled

certifi ed OMT enable ophthalmologists and

clinics to function more effi cientlyrdquo

Advantages of Certifi ed OMTFour out of 5 ophthalmologists believe that certifi ed OMT make their practice more effi cient through

bull Triage screeningbull Trouble shooting

bull Increase in number of patients seen per hour

bull Effective patient fl owbull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certification

JCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals Professional

ldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery

Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified

Ophthalmic Assistant

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 3: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

Attendee Tote Bags $10000

Description This is a great opportunity to give attendees something they will continue to use long after the program (JCAHPO selects and orders the bag)

Benefit Turn attendees into walking billboards for your company

Materials Due June 30

Exhibit Table $1800 (2 days)

Description Send a company representative to staff an exhibit table for two days Saturday and Sunday for personal contact with your target market Space is limited Register Early

Benefit Get up close and personal with thousands of ophthalmic professionals

Personalized Pens $2500

Description Pens are inserted into every attendeersquos tote bag

Benefit Put your company logo and message in the hands of every single attendee

Materials Due June 30

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

Your NameLogo Here

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

Tote Bag Flyer Inserts $2000 per insert

Description Your companyrsquos brochure or flyer will be inserted into every tote bag for attendees

Benefit This is your chance to introduce your company to the attendees and give them information to take back to the office

Materials Due Provide inserts loose and unwrapped by September 1

Membership Benefits

Join Today at wwwatpoorg (800) 482-4858

Association of Technical Personnel in Ophthalmology

Support Beyond CertificationFocused on your future

bull Earn 5 FREE Continuing Education credits

bull Viewpointsreg Magazine

bull Reduced rates for educational opportunities

bull Free Salary Survey

bull Professional support and growth opportunities

bull Discounts on COAreg COTreg and COMTreg Flash Cards

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel

Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certificationJCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals ProfessionalldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified Ophthalmic Assistant

ldquoBe Seenrdquo Broadcast $2500

Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop for three days

Benefit ldquoCommercial Spotsrdquo are shown more than 600 times in all classrooms common areas registration and online during the ACE Program

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due September 1

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the

JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment

Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________

Signature

Please send me information on how I may reduce my estate

taxes through a permanent Legacy Gift to the JCAHPO

Education amp Research Foundation

Thank You

Your gift to the JCAHPO Education and Research

Foundation is greatly appreciated Through generous

support from individuals such as you advances

continue to be made in the fi eld of eye care and talented

professionals receive the training they need to deliver

this care to people across the globe well into the future

Consult with your tax professional as your gift to

our 501(c)(3) nonprofi t foundation may be fully tax-

deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient Care

More than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye

glasses or contacts including

bull Cataracts

bull Diabetic retinopathy

bull Glaucoma

bull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is

expected to increase by nearly 20 in the next several

decades But in spite of this projected growth neither

the number of ophthalmologists or ophthalmic medical

technicians (OMT) is expected to increase at this same

fast pace

The Need for OMT

Ophthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important

patient diagnosis and treatment The contributions of

highly skilled certifi ed OMT enable ophthalmologists

and clinics to function more effi ciently They are an

important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions

of highly skilled

certifi ed OMT enable

ophthalmologists and

clinics to function

more effi cientlyrdquo

Advantages of Certifi ed OMT

Four out of 5 ophthalmologists believe

that certifi ed OMT make their practice

more effi cient through

bull Triage screening

bull Trouble shooting

bull Increase in number of patients

seen per hour

bull Effective patient fl ow

bull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

ACE Program Bulletin AdPrice varies - see below for details

Description This is the comprehensive guide for the entire ACE Program distributed to more than 40000 ophthalmic professionals including ophthalmologists ophthalmic technicians and clinic managers The Bulletin is also viewed online over 30000 times every year

Benefit Every attendee will have your company logo and message close at hand throughout the entire program Space is limited take advantage of being one of the premier advertisers

Materials Due June 1

Options Size Trim Size Bleed Size ColorBW Price

Sponsor Entire BulletinName and Logo

Recognition- Front cover 8375 x 10875 8625 x 11125 4-Color $10000Inside Front Cover Full Page 8375 x 10875 8625 x 11125 4-Color $5000

Outside Back Cover 34 Page 8375 x 675 8625 x 6875 4-Color $5000Inside Back Cover Full Page 8375 x 10875 8625 x 11125 4-Color $3500

Inside PagesFull Page 8375 x 10875 8625 x 11125 BW $150012 Page 75x5 NA BW $750

Day-at-a-glance Full Panel 175 x 975 NA BW $500

ACE Program Bulletin Mechanical and Digital Requirements

File specifications CMYK or Grayscale pdf tif jpg 300 dpi or greaterFor more information contact the Communications Coordinator at 651731-7238

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing OpportunitiesRolling Banner Ad on ACE Website Home Page $3500

Description A continuous rolling ad on the ACE Website home page gives your company unique widespread coverage for months leading up to and during the event

Benefit This includes logo message and a direct link to your website

Materials Due June 30

Video Specifications Flash 610 px wide by 285 px tall 24 fps (frames per second) 7-10 seconds in length or JPEGPNG 610 px wide by 285 px tall 72dpi

JCAHPOATPO

44th Annual ContinuingEducation Program

Hyatt Regency Chicago

New Venue

Date

the

OCTOBER 14-16 2016

SaveNew

Dates

Keynote Lecture $5000

Description This is the highlight of the ACE Program Be the official sponsor of the Keynote Lecture which is free to all ACE attendees

Benefit Includes onsite signage verbal acknowledgement during the introduction by JCAHPOrsquos President special listing in the program bulletin and company logo and message on screens before and after the lecture

Sub-Specialty Sessions $3000

Description Each year high quality specialty courses are selected to get attendees excited about their professional development These very popular courses fill up fast and are a great way to show your companyrsquos commitment to high quality ophthalmic education Contact JCAHPO for this yearrsquos area topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Workshops $500 per workshop (Call for multiple workshop pricing)

Description Sponsor a hands-on training course with products that your company makes Contact JCAHPO for current course topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

ACE Program Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

2014 ACE Program Keynote Speaker Hunter Cherwek MD

- with Marc Lafontaine COMTldquoORBIS INTERNATIONAL

It Starts with Visionrdquo

2015 ACE Program Keynote Speaker Rebecca Alexander

ldquoNot Fade Awayrdquo

ATPOrsquos three-day Annual Meeting is held in conjunction with JCAHPOrsquos ACE Program and the AAOrsquos Annual Meeting

Scientific Session $6200Description Sponsoring this day of highly attended courses including the popular ldquoWho Wants to be a SuperTechrdquo is a great way to show your support of this high-quality ophthalmic education

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Grand Rounds $5000Description Grand Rounds is a popular series of courses featuring innovative topics and presenters Make your impact at the highlight of the ATPOrsquos Annual Meeting

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Keynote Lecture $2000Description Sponsoring the ATPO Keynote Lecture demonstrates your companyrsquos commitment to providing quality resources for the eye care industry

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Membership Reception $3500Description Help bring together ATPO members in a celebration of the profession by being the official sponsor of the ATPO Membership Reception

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Certification Exam Review Sessions $2000 per sessionDescription Exam Review Sessions are a popular series of courses for ophthalmic technicians to help them prepare for upcoming certification examinations Sponsorship of these sessions highlights your companyrsquos dedication to certification and standards of training

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Refreshment Breaks - Scientific Session $1600Description Your company will be listed as the provider of the refreshment breaks

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

Sunrise Welcome $1600Description Kickoff the ATPO events Your company will be listed as the provider of breakfast

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

ldquoBe Seenrdquo Broadcast $500Description ldquoCommercial Spotsrdquo are available that feature your static ad amp logo or a video clip on a continuous loop

Benefit ldquoCommercial Spotsrdquo are played in the classroom through out the day

Materials Due August 1

Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

ATPO Annual Meeting Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

Association of Technical Personnel in Ophthalmology

Year-Round Marketing Opportunities

Regional CE Programs JCAHPO and ATPO offer monthly CE Programs across the country which allow you the opportunity to reach more ophthalmic professionals more often and in more places

Regional Program Brochure $1000 (per program)Description Cover page placement of your black and white logo andor inside frac14 page black and white ad

Circulation The Regional CE Program brochures are mailed amp emailed to thousands of ophthalmic professionals through out the year The brochure is available on the JCAHPO Website

Benefit Visibility in the comprehensive guide for the Regional CE Program available in print and online

Materials Due Varies by date of program call for details

Specifications Cover 35rdquox75rdquo Inside 375rdquox275rdquo

Onsite Flyers or Brochures $2000 (per program)Description Your company brochure or flyer handed out to every attendee

Benefit Give attendees information to take back to the office

Materials Due 3 weeks before the program

JCAHPOreg 2025 Woodlane Drive St Paul MN 55125 bull (800) 284-3937 bull Fax (651) 731-0410 bull wwwjcahpoorg

Registration FormRegistration form may be duplicated Please use one form per registrant

North Carolina Continuing Education Program11 JCAHPO Credits

Registration Deadline

September 10 2012

middot Course fees include JCAHPO CE credits continental breakfast lunch and refreshments during breaksmiddot A processing fee of $7500 will be deducted from each cancelled registrationmiddot If your registration total is less than $7500 no refunds will be made ATPO Memberships are non-transferable and non-refundablemiddot All cancellations and requests for refunds must be received by JCAHPO in writing no later than September 10 2012 No refunds will be granted after that date

regardless of the reason unless the conference is cancelled by JCAHPOmiddot Fees paid in American currency checks bank drafts drawn on US banks VISA MasterCard Discover or American Express are accepted Registration by fax or online

is accepted if fees are charged to a credit cardmiddot A link to course handouts will be e-mailed to registrants one week prior to the meeting date

Please PRINT clearly using blue or black ink

Name Professional Credentials

JCAHPO IDATPO Member Date of Birth (mmddyy)

Home Address

City State (Province) Zip (Postal Code) Country

Home Telephone ( ) E-mail (required for handoutsevaluations)

PracticeBusiness

Address

City State (Province) Zip (Postal Code) Country

Work Telephone ( ) Fax ( )

PAyMENT INFORMATION

o Check enclosed (payable to JCAHPO US Funds) o VISA o MasterCard o Discover o American Express

The following information is required to process credit card orders

______________-______________-______________-______________ __________________ _______ _______ ____________________Credit Card Number Security Code Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address

Name as it appears on credit card (please print)

Cardholderrsquos Signature X

(3 or 4 digits on front or back of credit card)

A link to course handouts will be e-mailed to registrants one week prior to the meeting date

I wish to register forAll check payments must be in US funds and drawn on a US bank

o Registration o One-year ATPO Membership (receive ATPO member price) $7500o JCAHPO Certified or ATPO Members $19500o Other registrants $22000

o Group discount o JCAHPO Certified or ATPO Members $18500o Other registrants $21000

o Additional Onsite Registration Fee $5000 Fee added to any registration package selected when purchased onsite

o Please add a $_________contribution to the JCAHPO Education and Research Foundation $____________

TOTAl $____________

Group Discount applies when 3 or more OMP from one clinic register for a meeting Registration forms must be sent together

bull Register Online httpwwwjcahpoorgregistrationbull Mail form and payment to

JCAHPO - 2025 Woodlane Drive St Paul MN 55125bull Fax this completed form to (651) 731-0410 (Credit card charges only)

Special Dietary Needs Please indicate dietary restrictions belowo Kosher o Vegetarian o Gluten-free

IN CASE OF EMERGENCY PLEASE NOTIFY

______________________________ (_____) _______________ Name Telephone Number

Your Ad Here

2016 Regional CE Programs February 5 ATPOKCSee Regional Meeting

March 4 Salt Lake City UT ndash in conjunction with UOS

March 12 Costa Mesa CA

April 9 Rochester MN

April 30 Dallas TX

April 30 Glade Springs WV ndash in conjunction with WVAEPS

May 6-9 ASCRS New Orleans LA

May 13 Vancouver BC - in conjunction with BCEPS

June 4 Kiawah SC ndashin conjunction with MUSC Storm Eye Institute

June 10-11 Orlando FL ndash in conjunction with FSO

August 13 San Francisco CA - in conjunction with ASRS

September 17 Cleveland OH - in conjunction COPS and ATPO

September 23-24 Greensboro NC ndash in conjunction with NCSEPS

October TBD ATPO ndash Annual Buffalo CE Conference

October 14-16 Chicago IL ndash 44rd Annual ACE Meeting in conjunction with AAONovember 5 New York NY - in conjunction with OSN-NY

(800) 284-3937 middot wwwjcahpoorg

Your Logo Here

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________Signature

Please send me information on how I may reduce my estate taxes through a permanent Legacy Gift to the JCAHPO Education amp Research Foundation

Thank YouYour gift to the JCAHPO Education and Research Foundation is greatly appreciated Through generous support from individuals such as you advances continue to be made in the fi eld of eye care and talented professionals receive the training they need to deliver this care to people across the globe well into the future Consult with your tax professional as your gift to our 501(c)(3) nonprofi t foundation may be fully tax-deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient CareMore than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye glasses or contacts including

bull Cataractsbull Diabetic retinopathybull Glaucomabull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is expected to increase by nearly 20 in the next several decades But in spite of this projected growth neither the number of ophthalmologists or ophthalmic medical technicians (OMT) is expected to increase at this same fast pace

The Need for OMTOphthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important patient diagnosis and treatment The contributions of highly skilled certifi ed OMT enable ophthalmologists and clinics to function more effi ciently They are an important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions of highly skilled

certifi ed OMT enable ophthalmologists and

clinics to function more effi cientlyrdquo

Advantages of Certifi ed OMTFour out of 5 ophthalmologists believe that certifi ed OMT make their practice more effi cient through

bull Triage screeningbull Trouble shooting

bull Increase in number of patients seen per hour

bull Effective patient fl owbull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certification

JCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals Professional

ldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery

Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified

Ophthalmic Assistant

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 4: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing Opportunities

Tote Bag Flyer Inserts $2000 per insert

Description Your companyrsquos brochure or flyer will be inserted into every tote bag for attendees

Benefit This is your chance to introduce your company to the attendees and give them information to take back to the office

Materials Due Provide inserts loose and unwrapped by September 1

Membership Benefits

Join Today at wwwatpoorg (800) 482-4858

Association of Technical Personnel in Ophthalmology

Support Beyond CertificationFocused on your future

bull Earn 5 FREE Continuing Education credits

bull Viewpointsreg Magazine

bull Reduced rates for educational opportunities

bull Free Salary Survey

bull Professional support and growth opportunities

bull Discounts on COAreg COTreg and COMTreg Flash Cards

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel

Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certificationJCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals ProfessionalldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified Ophthalmic Assistant

ldquoBe Seenrdquo Broadcast $2500

Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop for three days

Benefit ldquoCommercial Spotsrdquo are shown more than 600 times in all classrooms common areas registration and online during the ACE Program

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due September 1

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the

JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment

Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________

Signature

Please send me information on how I may reduce my estate

taxes through a permanent Legacy Gift to the JCAHPO

Education amp Research Foundation

Thank You

Your gift to the JCAHPO Education and Research

Foundation is greatly appreciated Through generous

support from individuals such as you advances

continue to be made in the fi eld of eye care and talented

professionals receive the training they need to deliver

this care to people across the globe well into the future

Consult with your tax professional as your gift to

our 501(c)(3) nonprofi t foundation may be fully tax-

deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient Care

More than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye

glasses or contacts including

bull Cataracts

bull Diabetic retinopathy

bull Glaucoma

bull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is

expected to increase by nearly 20 in the next several

decades But in spite of this projected growth neither

the number of ophthalmologists or ophthalmic medical

technicians (OMT) is expected to increase at this same

fast pace

The Need for OMT

Ophthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important

patient diagnosis and treatment The contributions of

highly skilled certifi ed OMT enable ophthalmologists

and clinics to function more effi ciently They are an

important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions

of highly skilled

certifi ed OMT enable

ophthalmologists and

clinics to function

more effi cientlyrdquo

Advantages of Certifi ed OMT

Four out of 5 ophthalmologists believe

that certifi ed OMT make their practice

more effi cient through

bull Triage screening

bull Trouble shooting

bull Increase in number of patients

seen per hour

bull Effective patient fl ow

bull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

ACE Program Bulletin AdPrice varies - see below for details

Description This is the comprehensive guide for the entire ACE Program distributed to more than 40000 ophthalmic professionals including ophthalmologists ophthalmic technicians and clinic managers The Bulletin is also viewed online over 30000 times every year

Benefit Every attendee will have your company logo and message close at hand throughout the entire program Space is limited take advantage of being one of the premier advertisers

Materials Due June 1

Options Size Trim Size Bleed Size ColorBW Price

Sponsor Entire BulletinName and Logo

Recognition- Front cover 8375 x 10875 8625 x 11125 4-Color $10000Inside Front Cover Full Page 8375 x 10875 8625 x 11125 4-Color $5000

Outside Back Cover 34 Page 8375 x 675 8625 x 6875 4-Color $5000Inside Back Cover Full Page 8375 x 10875 8625 x 11125 4-Color $3500

Inside PagesFull Page 8375 x 10875 8625 x 11125 BW $150012 Page 75x5 NA BW $750

Day-at-a-glance Full Panel 175 x 975 NA BW $500

ACE Program Bulletin Mechanical and Digital Requirements

File specifications CMYK or Grayscale pdf tif jpg 300 dpi or greaterFor more information contact the Communications Coordinator at 651731-7238

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing OpportunitiesRolling Banner Ad on ACE Website Home Page $3500

Description A continuous rolling ad on the ACE Website home page gives your company unique widespread coverage for months leading up to and during the event

Benefit This includes logo message and a direct link to your website

Materials Due June 30

Video Specifications Flash 610 px wide by 285 px tall 24 fps (frames per second) 7-10 seconds in length or JPEGPNG 610 px wide by 285 px tall 72dpi

JCAHPOATPO

44th Annual ContinuingEducation Program

Hyatt Regency Chicago

New Venue

Date

the

OCTOBER 14-16 2016

SaveNew

Dates

Keynote Lecture $5000

Description This is the highlight of the ACE Program Be the official sponsor of the Keynote Lecture which is free to all ACE attendees

Benefit Includes onsite signage verbal acknowledgement during the introduction by JCAHPOrsquos President special listing in the program bulletin and company logo and message on screens before and after the lecture

Sub-Specialty Sessions $3000

Description Each year high quality specialty courses are selected to get attendees excited about their professional development These very popular courses fill up fast and are a great way to show your companyrsquos commitment to high quality ophthalmic education Contact JCAHPO for this yearrsquos area topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Workshops $500 per workshop (Call for multiple workshop pricing)

Description Sponsor a hands-on training course with products that your company makes Contact JCAHPO for current course topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

ACE Program Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

2014 ACE Program Keynote Speaker Hunter Cherwek MD

- with Marc Lafontaine COMTldquoORBIS INTERNATIONAL

It Starts with Visionrdquo

2015 ACE Program Keynote Speaker Rebecca Alexander

ldquoNot Fade Awayrdquo

ATPOrsquos three-day Annual Meeting is held in conjunction with JCAHPOrsquos ACE Program and the AAOrsquos Annual Meeting

Scientific Session $6200Description Sponsoring this day of highly attended courses including the popular ldquoWho Wants to be a SuperTechrdquo is a great way to show your support of this high-quality ophthalmic education

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Grand Rounds $5000Description Grand Rounds is a popular series of courses featuring innovative topics and presenters Make your impact at the highlight of the ATPOrsquos Annual Meeting

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Keynote Lecture $2000Description Sponsoring the ATPO Keynote Lecture demonstrates your companyrsquos commitment to providing quality resources for the eye care industry

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Membership Reception $3500Description Help bring together ATPO members in a celebration of the profession by being the official sponsor of the ATPO Membership Reception

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Certification Exam Review Sessions $2000 per sessionDescription Exam Review Sessions are a popular series of courses for ophthalmic technicians to help them prepare for upcoming certification examinations Sponsorship of these sessions highlights your companyrsquos dedication to certification and standards of training

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Refreshment Breaks - Scientific Session $1600Description Your company will be listed as the provider of the refreshment breaks

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

Sunrise Welcome $1600Description Kickoff the ATPO events Your company will be listed as the provider of breakfast

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

ldquoBe Seenrdquo Broadcast $500Description ldquoCommercial Spotsrdquo are available that feature your static ad amp logo or a video clip on a continuous loop

Benefit ldquoCommercial Spotsrdquo are played in the classroom through out the day

Materials Due August 1

Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

ATPO Annual Meeting Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

Association of Technical Personnel in Ophthalmology

Year-Round Marketing Opportunities

Regional CE Programs JCAHPO and ATPO offer monthly CE Programs across the country which allow you the opportunity to reach more ophthalmic professionals more often and in more places

Regional Program Brochure $1000 (per program)Description Cover page placement of your black and white logo andor inside frac14 page black and white ad

Circulation The Regional CE Program brochures are mailed amp emailed to thousands of ophthalmic professionals through out the year The brochure is available on the JCAHPO Website

Benefit Visibility in the comprehensive guide for the Regional CE Program available in print and online

Materials Due Varies by date of program call for details

Specifications Cover 35rdquox75rdquo Inside 375rdquox275rdquo

Onsite Flyers or Brochures $2000 (per program)Description Your company brochure or flyer handed out to every attendee

Benefit Give attendees information to take back to the office

Materials Due 3 weeks before the program

JCAHPOreg 2025 Woodlane Drive St Paul MN 55125 bull (800) 284-3937 bull Fax (651) 731-0410 bull wwwjcahpoorg

Registration FormRegistration form may be duplicated Please use one form per registrant

North Carolina Continuing Education Program11 JCAHPO Credits

Registration Deadline

September 10 2012

middot Course fees include JCAHPO CE credits continental breakfast lunch and refreshments during breaksmiddot A processing fee of $7500 will be deducted from each cancelled registrationmiddot If your registration total is less than $7500 no refunds will be made ATPO Memberships are non-transferable and non-refundablemiddot All cancellations and requests for refunds must be received by JCAHPO in writing no later than September 10 2012 No refunds will be granted after that date

regardless of the reason unless the conference is cancelled by JCAHPOmiddot Fees paid in American currency checks bank drafts drawn on US banks VISA MasterCard Discover or American Express are accepted Registration by fax or online

is accepted if fees are charged to a credit cardmiddot A link to course handouts will be e-mailed to registrants one week prior to the meeting date

Please PRINT clearly using blue or black ink

Name Professional Credentials

JCAHPO IDATPO Member Date of Birth (mmddyy)

Home Address

City State (Province) Zip (Postal Code) Country

Home Telephone ( ) E-mail (required for handoutsevaluations)

PracticeBusiness

Address

City State (Province) Zip (Postal Code) Country

Work Telephone ( ) Fax ( )

PAyMENT INFORMATION

o Check enclosed (payable to JCAHPO US Funds) o VISA o MasterCard o Discover o American Express

The following information is required to process credit card orders

______________-______________-______________-______________ __________________ _______ _______ ____________________Credit Card Number Security Code Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address

Name as it appears on credit card (please print)

Cardholderrsquos Signature X

(3 or 4 digits on front or back of credit card)

A link to course handouts will be e-mailed to registrants one week prior to the meeting date

I wish to register forAll check payments must be in US funds and drawn on a US bank

o Registration o One-year ATPO Membership (receive ATPO member price) $7500o JCAHPO Certified or ATPO Members $19500o Other registrants $22000

o Group discount o JCAHPO Certified or ATPO Members $18500o Other registrants $21000

o Additional Onsite Registration Fee $5000 Fee added to any registration package selected when purchased onsite

o Please add a $_________contribution to the JCAHPO Education and Research Foundation $____________

TOTAl $____________

Group Discount applies when 3 or more OMP from one clinic register for a meeting Registration forms must be sent together

bull Register Online httpwwwjcahpoorgregistrationbull Mail form and payment to

JCAHPO - 2025 Woodlane Drive St Paul MN 55125bull Fax this completed form to (651) 731-0410 (Credit card charges only)

Special Dietary Needs Please indicate dietary restrictions belowo Kosher o Vegetarian o Gluten-free

IN CASE OF EMERGENCY PLEASE NOTIFY

______________________________ (_____) _______________ Name Telephone Number

Your Ad Here

2016 Regional CE Programs February 5 ATPOKCSee Regional Meeting

March 4 Salt Lake City UT ndash in conjunction with UOS

March 12 Costa Mesa CA

April 9 Rochester MN

April 30 Dallas TX

April 30 Glade Springs WV ndash in conjunction with WVAEPS

May 6-9 ASCRS New Orleans LA

May 13 Vancouver BC - in conjunction with BCEPS

June 4 Kiawah SC ndashin conjunction with MUSC Storm Eye Institute

June 10-11 Orlando FL ndash in conjunction with FSO

August 13 San Francisco CA - in conjunction with ASRS

September 17 Cleveland OH - in conjunction COPS and ATPO

September 23-24 Greensboro NC ndash in conjunction with NCSEPS

October TBD ATPO ndash Annual Buffalo CE Conference

October 14-16 Chicago IL ndash 44rd Annual ACE Meeting in conjunction with AAONovember 5 New York NY - in conjunction with OSN-NY

(800) 284-3937 middot wwwjcahpoorg

Your Logo Here

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________Signature

Please send me information on how I may reduce my estate taxes through a permanent Legacy Gift to the JCAHPO Education amp Research Foundation

Thank YouYour gift to the JCAHPO Education and Research Foundation is greatly appreciated Through generous support from individuals such as you advances continue to be made in the fi eld of eye care and talented professionals receive the training they need to deliver this care to people across the globe well into the future Consult with your tax professional as your gift to our 501(c)(3) nonprofi t foundation may be fully tax-deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient CareMore than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye glasses or contacts including

bull Cataractsbull Diabetic retinopathybull Glaucomabull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is expected to increase by nearly 20 in the next several decades But in spite of this projected growth neither the number of ophthalmologists or ophthalmic medical technicians (OMT) is expected to increase at this same fast pace

The Need for OMTOphthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important patient diagnosis and treatment The contributions of highly skilled certifi ed OMT enable ophthalmologists and clinics to function more effi ciently They are an important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions of highly skilled

certifi ed OMT enable ophthalmologists and

clinics to function more effi cientlyrdquo

Advantages of Certifi ed OMTFour out of 5 ophthalmologists believe that certifi ed OMT make their practice more effi cient through

bull Triage screeningbull Trouble shooting

bull Increase in number of patients seen per hour

bull Effective patient fl owbull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certification

JCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals Professional

ldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery

Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified

Ophthalmic Assistant

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 5: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

ACE Program Bulletin AdPrice varies - see below for details

Description This is the comprehensive guide for the entire ACE Program distributed to more than 40000 ophthalmic professionals including ophthalmologists ophthalmic technicians and clinic managers The Bulletin is also viewed online over 30000 times every year

Benefit Every attendee will have your company logo and message close at hand throughout the entire program Space is limited take advantage of being one of the premier advertisers

Materials Due June 1

Options Size Trim Size Bleed Size ColorBW Price

Sponsor Entire BulletinName and Logo

Recognition- Front cover 8375 x 10875 8625 x 11125 4-Color $10000Inside Front Cover Full Page 8375 x 10875 8625 x 11125 4-Color $5000

Outside Back Cover 34 Page 8375 x 675 8625 x 6875 4-Color $5000Inside Back Cover Full Page 8375 x 10875 8625 x 11125 4-Color $3500

Inside PagesFull Page 8375 x 10875 8625 x 11125 BW $150012 Page 75x5 NA BW $750

Day-at-a-glance Full Panel 175 x 975 NA BW $500

ACE Program Bulletin Mechanical and Digital Requirements

File specifications CMYK or Grayscale pdf tif jpg 300 dpi or greaterFor more information contact the Communications Coordinator at 651731-7238

(800) 284-3937 middot wwwjcahpoorg

ACE Program Marketing OpportunitiesRolling Banner Ad on ACE Website Home Page $3500

Description A continuous rolling ad on the ACE Website home page gives your company unique widespread coverage for months leading up to and during the event

Benefit This includes logo message and a direct link to your website

Materials Due June 30

Video Specifications Flash 610 px wide by 285 px tall 24 fps (frames per second) 7-10 seconds in length or JPEGPNG 610 px wide by 285 px tall 72dpi

JCAHPOATPO

44th Annual ContinuingEducation Program

Hyatt Regency Chicago

New Venue

Date

the

OCTOBER 14-16 2016

SaveNew

Dates

Keynote Lecture $5000

Description This is the highlight of the ACE Program Be the official sponsor of the Keynote Lecture which is free to all ACE attendees

Benefit Includes onsite signage verbal acknowledgement during the introduction by JCAHPOrsquos President special listing in the program bulletin and company logo and message on screens before and after the lecture

Sub-Specialty Sessions $3000

Description Each year high quality specialty courses are selected to get attendees excited about their professional development These very popular courses fill up fast and are a great way to show your companyrsquos commitment to high quality ophthalmic education Contact JCAHPO for this yearrsquos area topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Workshops $500 per workshop (Call for multiple workshop pricing)

Description Sponsor a hands-on training course with products that your company makes Contact JCAHPO for current course topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

ACE Program Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

2014 ACE Program Keynote Speaker Hunter Cherwek MD

- with Marc Lafontaine COMTldquoORBIS INTERNATIONAL

It Starts with Visionrdquo

2015 ACE Program Keynote Speaker Rebecca Alexander

ldquoNot Fade Awayrdquo

ATPOrsquos three-day Annual Meeting is held in conjunction with JCAHPOrsquos ACE Program and the AAOrsquos Annual Meeting

Scientific Session $6200Description Sponsoring this day of highly attended courses including the popular ldquoWho Wants to be a SuperTechrdquo is a great way to show your support of this high-quality ophthalmic education

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Grand Rounds $5000Description Grand Rounds is a popular series of courses featuring innovative topics and presenters Make your impact at the highlight of the ATPOrsquos Annual Meeting

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Keynote Lecture $2000Description Sponsoring the ATPO Keynote Lecture demonstrates your companyrsquos commitment to providing quality resources for the eye care industry

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Membership Reception $3500Description Help bring together ATPO members in a celebration of the profession by being the official sponsor of the ATPO Membership Reception

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Certification Exam Review Sessions $2000 per sessionDescription Exam Review Sessions are a popular series of courses for ophthalmic technicians to help them prepare for upcoming certification examinations Sponsorship of these sessions highlights your companyrsquos dedication to certification and standards of training

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Refreshment Breaks - Scientific Session $1600Description Your company will be listed as the provider of the refreshment breaks

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

Sunrise Welcome $1600Description Kickoff the ATPO events Your company will be listed as the provider of breakfast

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

ldquoBe Seenrdquo Broadcast $500Description ldquoCommercial Spotsrdquo are available that feature your static ad amp logo or a video clip on a continuous loop

Benefit ldquoCommercial Spotsrdquo are played in the classroom through out the day

Materials Due August 1

Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

ATPO Annual Meeting Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

Association of Technical Personnel in Ophthalmology

Year-Round Marketing Opportunities

Regional CE Programs JCAHPO and ATPO offer monthly CE Programs across the country which allow you the opportunity to reach more ophthalmic professionals more often and in more places

Regional Program Brochure $1000 (per program)Description Cover page placement of your black and white logo andor inside frac14 page black and white ad

Circulation The Regional CE Program brochures are mailed amp emailed to thousands of ophthalmic professionals through out the year The brochure is available on the JCAHPO Website

Benefit Visibility in the comprehensive guide for the Regional CE Program available in print and online

Materials Due Varies by date of program call for details

Specifications Cover 35rdquox75rdquo Inside 375rdquox275rdquo

Onsite Flyers or Brochures $2000 (per program)Description Your company brochure or flyer handed out to every attendee

Benefit Give attendees information to take back to the office

Materials Due 3 weeks before the program

JCAHPOreg 2025 Woodlane Drive St Paul MN 55125 bull (800) 284-3937 bull Fax (651) 731-0410 bull wwwjcahpoorg

Registration FormRegistration form may be duplicated Please use one form per registrant

North Carolina Continuing Education Program11 JCAHPO Credits

Registration Deadline

September 10 2012

middot Course fees include JCAHPO CE credits continental breakfast lunch and refreshments during breaksmiddot A processing fee of $7500 will be deducted from each cancelled registrationmiddot If your registration total is less than $7500 no refunds will be made ATPO Memberships are non-transferable and non-refundablemiddot All cancellations and requests for refunds must be received by JCAHPO in writing no later than September 10 2012 No refunds will be granted after that date

regardless of the reason unless the conference is cancelled by JCAHPOmiddot Fees paid in American currency checks bank drafts drawn on US banks VISA MasterCard Discover or American Express are accepted Registration by fax or online

is accepted if fees are charged to a credit cardmiddot A link to course handouts will be e-mailed to registrants one week prior to the meeting date

Please PRINT clearly using blue or black ink

Name Professional Credentials

JCAHPO IDATPO Member Date of Birth (mmddyy)

Home Address

City State (Province) Zip (Postal Code) Country

Home Telephone ( ) E-mail (required for handoutsevaluations)

PracticeBusiness

Address

City State (Province) Zip (Postal Code) Country

Work Telephone ( ) Fax ( )

PAyMENT INFORMATION

o Check enclosed (payable to JCAHPO US Funds) o VISA o MasterCard o Discover o American Express

The following information is required to process credit card orders

______________-______________-______________-______________ __________________ _______ _______ ____________________Credit Card Number Security Code Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address

Name as it appears on credit card (please print)

Cardholderrsquos Signature X

(3 or 4 digits on front or back of credit card)

A link to course handouts will be e-mailed to registrants one week prior to the meeting date

I wish to register forAll check payments must be in US funds and drawn on a US bank

o Registration o One-year ATPO Membership (receive ATPO member price) $7500o JCAHPO Certified or ATPO Members $19500o Other registrants $22000

o Group discount o JCAHPO Certified or ATPO Members $18500o Other registrants $21000

o Additional Onsite Registration Fee $5000 Fee added to any registration package selected when purchased onsite

o Please add a $_________contribution to the JCAHPO Education and Research Foundation $____________

TOTAl $____________

Group Discount applies when 3 or more OMP from one clinic register for a meeting Registration forms must be sent together

bull Register Online httpwwwjcahpoorgregistrationbull Mail form and payment to

JCAHPO - 2025 Woodlane Drive St Paul MN 55125bull Fax this completed form to (651) 731-0410 (Credit card charges only)

Special Dietary Needs Please indicate dietary restrictions belowo Kosher o Vegetarian o Gluten-free

IN CASE OF EMERGENCY PLEASE NOTIFY

______________________________ (_____) _______________ Name Telephone Number

Your Ad Here

2016 Regional CE Programs February 5 ATPOKCSee Regional Meeting

March 4 Salt Lake City UT ndash in conjunction with UOS

March 12 Costa Mesa CA

April 9 Rochester MN

April 30 Dallas TX

April 30 Glade Springs WV ndash in conjunction with WVAEPS

May 6-9 ASCRS New Orleans LA

May 13 Vancouver BC - in conjunction with BCEPS

June 4 Kiawah SC ndashin conjunction with MUSC Storm Eye Institute

June 10-11 Orlando FL ndash in conjunction with FSO

August 13 San Francisco CA - in conjunction with ASRS

September 17 Cleveland OH - in conjunction COPS and ATPO

September 23-24 Greensboro NC ndash in conjunction with NCSEPS

October TBD ATPO ndash Annual Buffalo CE Conference

October 14-16 Chicago IL ndash 44rd Annual ACE Meeting in conjunction with AAONovember 5 New York NY - in conjunction with OSN-NY

(800) 284-3937 middot wwwjcahpoorg

Your Logo Here

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________Signature

Please send me information on how I may reduce my estate taxes through a permanent Legacy Gift to the JCAHPO Education amp Research Foundation

Thank YouYour gift to the JCAHPO Education and Research Foundation is greatly appreciated Through generous support from individuals such as you advances continue to be made in the fi eld of eye care and talented professionals receive the training they need to deliver this care to people across the globe well into the future Consult with your tax professional as your gift to our 501(c)(3) nonprofi t foundation may be fully tax-deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient CareMore than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye glasses or contacts including

bull Cataractsbull Diabetic retinopathybull Glaucomabull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is expected to increase by nearly 20 in the next several decades But in spite of this projected growth neither the number of ophthalmologists or ophthalmic medical technicians (OMT) is expected to increase at this same fast pace

The Need for OMTOphthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important patient diagnosis and treatment The contributions of highly skilled certifi ed OMT enable ophthalmologists and clinics to function more effi ciently They are an important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions of highly skilled

certifi ed OMT enable ophthalmologists and

clinics to function more effi cientlyrdquo

Advantages of Certifi ed OMTFour out of 5 ophthalmologists believe that certifi ed OMT make their practice more effi cient through

bull Triage screeningbull Trouble shooting

bull Increase in number of patients seen per hour

bull Effective patient fl owbull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certification

JCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals Professional

ldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery

Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified

Ophthalmic Assistant

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 6: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

Keynote Lecture $5000

Description This is the highlight of the ACE Program Be the official sponsor of the Keynote Lecture which is free to all ACE attendees

Benefit Includes onsite signage verbal acknowledgement during the introduction by JCAHPOrsquos President special listing in the program bulletin and company logo and message on screens before and after the lecture

Sub-Specialty Sessions $3000

Description Each year high quality specialty courses are selected to get attendees excited about their professional development These very popular courses fill up fast and are a great way to show your companyrsquos commitment to high quality ophthalmic education Contact JCAHPO for this yearrsquos area topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Workshops $500 per workshop (Call for multiple workshop pricing)

Description Sponsor a hands-on training course with products that your company makes Contact JCAHPO for current course topics

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

ACE Program Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

2014 ACE Program Keynote Speaker Hunter Cherwek MD

- with Marc Lafontaine COMTldquoORBIS INTERNATIONAL

It Starts with Visionrdquo

2015 ACE Program Keynote Speaker Rebecca Alexander

ldquoNot Fade Awayrdquo

ATPOrsquos three-day Annual Meeting is held in conjunction with JCAHPOrsquos ACE Program and the AAOrsquos Annual Meeting

Scientific Session $6200Description Sponsoring this day of highly attended courses including the popular ldquoWho Wants to be a SuperTechrdquo is a great way to show your support of this high-quality ophthalmic education

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Grand Rounds $5000Description Grand Rounds is a popular series of courses featuring innovative topics and presenters Make your impact at the highlight of the ATPOrsquos Annual Meeting

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Keynote Lecture $2000Description Sponsoring the ATPO Keynote Lecture demonstrates your companyrsquos commitment to providing quality resources for the eye care industry

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Membership Reception $3500Description Help bring together ATPO members in a celebration of the profession by being the official sponsor of the ATPO Membership Reception

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Certification Exam Review Sessions $2000 per sessionDescription Exam Review Sessions are a popular series of courses for ophthalmic technicians to help them prepare for upcoming certification examinations Sponsorship of these sessions highlights your companyrsquos dedication to certification and standards of training

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Refreshment Breaks - Scientific Session $1600Description Your company will be listed as the provider of the refreshment breaks

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

Sunrise Welcome $1600Description Kickoff the ATPO events Your company will be listed as the provider of breakfast

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

ldquoBe Seenrdquo Broadcast $500Description ldquoCommercial Spotsrdquo are available that feature your static ad amp logo or a video clip on a continuous loop

Benefit ldquoCommercial Spotsrdquo are played in the classroom through out the day

Materials Due August 1

Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

ATPO Annual Meeting Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

Association of Technical Personnel in Ophthalmology

Year-Round Marketing Opportunities

Regional CE Programs JCAHPO and ATPO offer monthly CE Programs across the country which allow you the opportunity to reach more ophthalmic professionals more often and in more places

Regional Program Brochure $1000 (per program)Description Cover page placement of your black and white logo andor inside frac14 page black and white ad

Circulation The Regional CE Program brochures are mailed amp emailed to thousands of ophthalmic professionals through out the year The brochure is available on the JCAHPO Website

Benefit Visibility in the comprehensive guide for the Regional CE Program available in print and online

Materials Due Varies by date of program call for details

Specifications Cover 35rdquox75rdquo Inside 375rdquox275rdquo

Onsite Flyers or Brochures $2000 (per program)Description Your company brochure or flyer handed out to every attendee

Benefit Give attendees information to take back to the office

Materials Due 3 weeks before the program

JCAHPOreg 2025 Woodlane Drive St Paul MN 55125 bull (800) 284-3937 bull Fax (651) 731-0410 bull wwwjcahpoorg

Registration FormRegistration form may be duplicated Please use one form per registrant

North Carolina Continuing Education Program11 JCAHPO Credits

Registration Deadline

September 10 2012

middot Course fees include JCAHPO CE credits continental breakfast lunch and refreshments during breaksmiddot A processing fee of $7500 will be deducted from each cancelled registrationmiddot If your registration total is less than $7500 no refunds will be made ATPO Memberships are non-transferable and non-refundablemiddot All cancellations and requests for refunds must be received by JCAHPO in writing no later than September 10 2012 No refunds will be granted after that date

regardless of the reason unless the conference is cancelled by JCAHPOmiddot Fees paid in American currency checks bank drafts drawn on US banks VISA MasterCard Discover or American Express are accepted Registration by fax or online

is accepted if fees are charged to a credit cardmiddot A link to course handouts will be e-mailed to registrants one week prior to the meeting date

Please PRINT clearly using blue or black ink

Name Professional Credentials

JCAHPO IDATPO Member Date of Birth (mmddyy)

Home Address

City State (Province) Zip (Postal Code) Country

Home Telephone ( ) E-mail (required for handoutsevaluations)

PracticeBusiness

Address

City State (Province) Zip (Postal Code) Country

Work Telephone ( ) Fax ( )

PAyMENT INFORMATION

o Check enclosed (payable to JCAHPO US Funds) o VISA o MasterCard o Discover o American Express

The following information is required to process credit card orders

______________-______________-______________-______________ __________________ _______ _______ ____________________Credit Card Number Security Code Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address

Name as it appears on credit card (please print)

Cardholderrsquos Signature X

(3 or 4 digits on front or back of credit card)

A link to course handouts will be e-mailed to registrants one week prior to the meeting date

I wish to register forAll check payments must be in US funds and drawn on a US bank

o Registration o One-year ATPO Membership (receive ATPO member price) $7500o JCAHPO Certified or ATPO Members $19500o Other registrants $22000

o Group discount o JCAHPO Certified or ATPO Members $18500o Other registrants $21000

o Additional Onsite Registration Fee $5000 Fee added to any registration package selected when purchased onsite

o Please add a $_________contribution to the JCAHPO Education and Research Foundation $____________

TOTAl $____________

Group Discount applies when 3 or more OMP from one clinic register for a meeting Registration forms must be sent together

bull Register Online httpwwwjcahpoorgregistrationbull Mail form and payment to

JCAHPO - 2025 Woodlane Drive St Paul MN 55125bull Fax this completed form to (651) 731-0410 (Credit card charges only)

Special Dietary Needs Please indicate dietary restrictions belowo Kosher o Vegetarian o Gluten-free

IN CASE OF EMERGENCY PLEASE NOTIFY

______________________________ (_____) _______________ Name Telephone Number

Your Ad Here

2016 Regional CE Programs February 5 ATPOKCSee Regional Meeting

March 4 Salt Lake City UT ndash in conjunction with UOS

March 12 Costa Mesa CA

April 9 Rochester MN

April 30 Dallas TX

April 30 Glade Springs WV ndash in conjunction with WVAEPS

May 6-9 ASCRS New Orleans LA

May 13 Vancouver BC - in conjunction with BCEPS

June 4 Kiawah SC ndashin conjunction with MUSC Storm Eye Institute

June 10-11 Orlando FL ndash in conjunction with FSO

August 13 San Francisco CA - in conjunction with ASRS

September 17 Cleveland OH - in conjunction COPS and ATPO

September 23-24 Greensboro NC ndash in conjunction with NCSEPS

October TBD ATPO ndash Annual Buffalo CE Conference

October 14-16 Chicago IL ndash 44rd Annual ACE Meeting in conjunction with AAONovember 5 New York NY - in conjunction with OSN-NY

(800) 284-3937 middot wwwjcahpoorg

Your Logo Here

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________Signature

Please send me information on how I may reduce my estate taxes through a permanent Legacy Gift to the JCAHPO Education amp Research Foundation

Thank YouYour gift to the JCAHPO Education and Research Foundation is greatly appreciated Through generous support from individuals such as you advances continue to be made in the fi eld of eye care and talented professionals receive the training they need to deliver this care to people across the globe well into the future Consult with your tax professional as your gift to our 501(c)(3) nonprofi t foundation may be fully tax-deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient CareMore than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye glasses or contacts including

bull Cataractsbull Diabetic retinopathybull Glaucomabull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is expected to increase by nearly 20 in the next several decades But in spite of this projected growth neither the number of ophthalmologists or ophthalmic medical technicians (OMT) is expected to increase at this same fast pace

The Need for OMTOphthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important patient diagnosis and treatment The contributions of highly skilled certifi ed OMT enable ophthalmologists and clinics to function more effi ciently They are an important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions of highly skilled

certifi ed OMT enable ophthalmologists and

clinics to function more effi cientlyrdquo

Advantages of Certifi ed OMTFour out of 5 ophthalmologists believe that certifi ed OMT make their practice more effi cient through

bull Triage screeningbull Trouble shooting

bull Increase in number of patients seen per hour

bull Effective patient fl owbull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certification

JCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals Professional

ldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery

Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified

Ophthalmic Assistant

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 7: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

ATPOrsquos three-day Annual Meeting is held in conjunction with JCAHPOrsquos ACE Program and the AAOrsquos Annual Meeting

Scientific Session $6200Description Sponsoring this day of highly attended courses including the popular ldquoWho Wants to be a SuperTechrdquo is a great way to show your support of this high-quality ophthalmic education

Benefit Includes signage outside the classrooms and acknowledgement in the ACE Program Bulletin (printed and online versions)

Grand Rounds $5000Description Grand Rounds is a popular series of courses featuring innovative topics and presenters Make your impact at the highlight of the ATPOrsquos Annual Meeting

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Keynote Lecture $2000Description Sponsoring the ATPO Keynote Lecture demonstrates your companyrsquos commitment to providing quality resources for the eye care industry

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

ATPO Membership Reception $3500Description Help bring together ATPO members in a celebration of the profession by being the official sponsor of the ATPO Membership Reception

Benefit Includes signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Certification Exam Review Sessions $2000 per sessionDescription Exam Review Sessions are a popular series of courses for ophthalmic technicians to help them prepare for upcoming certification examinations Sponsorship of these sessions highlights your companyrsquos dedication to certification and standards of training

Benefit Includes onsite signage outside the classroom and acknowledgement in the ACE Program Bulletin (printed and online versions)

Refreshment Breaks - Scientific Session $1600Description Your company will be listed as the provider of the refreshment breaks

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

Sunrise Welcome $1600Description Kickoff the ATPO events Your company will be listed as the provider of breakfast

Benefit Includes onsite signage and acknowledgement in the ACE Program Bulletin (printed and online versions)

ldquoBe Seenrdquo Broadcast $500Description ldquoCommercial Spotsrdquo are available that feature your static ad amp logo or a video clip on a continuous loop

Benefit ldquoCommercial Spotsrdquo are played in the classroom through out the day

Materials Due August 1

Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

ATPO Annual Meeting Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

Association of Technical Personnel in Ophthalmology

Year-Round Marketing Opportunities

Regional CE Programs JCAHPO and ATPO offer monthly CE Programs across the country which allow you the opportunity to reach more ophthalmic professionals more often and in more places

Regional Program Brochure $1000 (per program)Description Cover page placement of your black and white logo andor inside frac14 page black and white ad

Circulation The Regional CE Program brochures are mailed amp emailed to thousands of ophthalmic professionals through out the year The brochure is available on the JCAHPO Website

Benefit Visibility in the comprehensive guide for the Regional CE Program available in print and online

Materials Due Varies by date of program call for details

Specifications Cover 35rdquox75rdquo Inside 375rdquox275rdquo

Onsite Flyers or Brochures $2000 (per program)Description Your company brochure or flyer handed out to every attendee

Benefit Give attendees information to take back to the office

Materials Due 3 weeks before the program

JCAHPOreg 2025 Woodlane Drive St Paul MN 55125 bull (800) 284-3937 bull Fax (651) 731-0410 bull wwwjcahpoorg

Registration FormRegistration form may be duplicated Please use one form per registrant

North Carolina Continuing Education Program11 JCAHPO Credits

Registration Deadline

September 10 2012

middot Course fees include JCAHPO CE credits continental breakfast lunch and refreshments during breaksmiddot A processing fee of $7500 will be deducted from each cancelled registrationmiddot If your registration total is less than $7500 no refunds will be made ATPO Memberships are non-transferable and non-refundablemiddot All cancellations and requests for refunds must be received by JCAHPO in writing no later than September 10 2012 No refunds will be granted after that date

regardless of the reason unless the conference is cancelled by JCAHPOmiddot Fees paid in American currency checks bank drafts drawn on US banks VISA MasterCard Discover or American Express are accepted Registration by fax or online

is accepted if fees are charged to a credit cardmiddot A link to course handouts will be e-mailed to registrants one week prior to the meeting date

Please PRINT clearly using blue or black ink

Name Professional Credentials

JCAHPO IDATPO Member Date of Birth (mmddyy)

Home Address

City State (Province) Zip (Postal Code) Country

Home Telephone ( ) E-mail (required for handoutsevaluations)

PracticeBusiness

Address

City State (Province) Zip (Postal Code) Country

Work Telephone ( ) Fax ( )

PAyMENT INFORMATION

o Check enclosed (payable to JCAHPO US Funds) o VISA o MasterCard o Discover o American Express

The following information is required to process credit card orders

______________-______________-______________-______________ __________________ _______ _______ ____________________Credit Card Number Security Code Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address

Name as it appears on credit card (please print)

Cardholderrsquos Signature X

(3 or 4 digits on front or back of credit card)

A link to course handouts will be e-mailed to registrants one week prior to the meeting date

I wish to register forAll check payments must be in US funds and drawn on a US bank

o Registration o One-year ATPO Membership (receive ATPO member price) $7500o JCAHPO Certified or ATPO Members $19500o Other registrants $22000

o Group discount o JCAHPO Certified or ATPO Members $18500o Other registrants $21000

o Additional Onsite Registration Fee $5000 Fee added to any registration package selected when purchased onsite

o Please add a $_________contribution to the JCAHPO Education and Research Foundation $____________

TOTAl $____________

Group Discount applies when 3 or more OMP from one clinic register for a meeting Registration forms must be sent together

bull Register Online httpwwwjcahpoorgregistrationbull Mail form and payment to

JCAHPO - 2025 Woodlane Drive St Paul MN 55125bull Fax this completed form to (651) 731-0410 (Credit card charges only)

Special Dietary Needs Please indicate dietary restrictions belowo Kosher o Vegetarian o Gluten-free

IN CASE OF EMERGENCY PLEASE NOTIFY

______________________________ (_____) _______________ Name Telephone Number

Your Ad Here

2016 Regional CE Programs February 5 ATPOKCSee Regional Meeting

March 4 Salt Lake City UT ndash in conjunction with UOS

March 12 Costa Mesa CA

April 9 Rochester MN

April 30 Dallas TX

April 30 Glade Springs WV ndash in conjunction with WVAEPS

May 6-9 ASCRS New Orleans LA

May 13 Vancouver BC - in conjunction with BCEPS

June 4 Kiawah SC ndashin conjunction with MUSC Storm Eye Institute

June 10-11 Orlando FL ndash in conjunction with FSO

August 13 San Francisco CA - in conjunction with ASRS

September 17 Cleveland OH - in conjunction COPS and ATPO

September 23-24 Greensboro NC ndash in conjunction with NCSEPS

October TBD ATPO ndash Annual Buffalo CE Conference

October 14-16 Chicago IL ndash 44rd Annual ACE Meeting in conjunction with AAONovember 5 New York NY - in conjunction with OSN-NY

(800) 284-3937 middot wwwjcahpoorg

Your Logo Here

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________Signature

Please send me information on how I may reduce my estate taxes through a permanent Legacy Gift to the JCAHPO Education amp Research Foundation

Thank YouYour gift to the JCAHPO Education and Research Foundation is greatly appreciated Through generous support from individuals such as you advances continue to be made in the fi eld of eye care and talented professionals receive the training they need to deliver this care to people across the globe well into the future Consult with your tax professional as your gift to our 501(c)(3) nonprofi t foundation may be fully tax-deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient CareMore than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye glasses or contacts including

bull Cataractsbull Diabetic retinopathybull Glaucomabull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is expected to increase by nearly 20 in the next several decades But in spite of this projected growth neither the number of ophthalmologists or ophthalmic medical technicians (OMT) is expected to increase at this same fast pace

The Need for OMTOphthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important patient diagnosis and treatment The contributions of highly skilled certifi ed OMT enable ophthalmologists and clinics to function more effi ciently They are an important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions of highly skilled

certifi ed OMT enable ophthalmologists and

clinics to function more effi cientlyrdquo

Advantages of Certifi ed OMTFour out of 5 ophthalmologists believe that certifi ed OMT make their practice more effi cient through

bull Triage screeningbull Trouble shooting

bull Increase in number of patients seen per hour

bull Effective patient fl owbull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certification

JCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals Professional

ldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery

Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified

Ophthalmic Assistant

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 8: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

Year-Round Marketing Opportunities

Regional CE Programs JCAHPO and ATPO offer monthly CE Programs across the country which allow you the opportunity to reach more ophthalmic professionals more often and in more places

Regional Program Brochure $1000 (per program)Description Cover page placement of your black and white logo andor inside frac14 page black and white ad

Circulation The Regional CE Program brochures are mailed amp emailed to thousands of ophthalmic professionals through out the year The brochure is available on the JCAHPO Website

Benefit Visibility in the comprehensive guide for the Regional CE Program available in print and online

Materials Due Varies by date of program call for details

Specifications Cover 35rdquox75rdquo Inside 375rdquox275rdquo

Onsite Flyers or Brochures $2000 (per program)Description Your company brochure or flyer handed out to every attendee

Benefit Give attendees information to take back to the office

Materials Due 3 weeks before the program

JCAHPOreg 2025 Woodlane Drive St Paul MN 55125 bull (800) 284-3937 bull Fax (651) 731-0410 bull wwwjcahpoorg

Registration FormRegistration form may be duplicated Please use one form per registrant

North Carolina Continuing Education Program11 JCAHPO Credits

Registration Deadline

September 10 2012

middot Course fees include JCAHPO CE credits continental breakfast lunch and refreshments during breaksmiddot A processing fee of $7500 will be deducted from each cancelled registrationmiddot If your registration total is less than $7500 no refunds will be made ATPO Memberships are non-transferable and non-refundablemiddot All cancellations and requests for refunds must be received by JCAHPO in writing no later than September 10 2012 No refunds will be granted after that date

regardless of the reason unless the conference is cancelled by JCAHPOmiddot Fees paid in American currency checks bank drafts drawn on US banks VISA MasterCard Discover or American Express are accepted Registration by fax or online

is accepted if fees are charged to a credit cardmiddot A link to course handouts will be e-mailed to registrants one week prior to the meeting date

Please PRINT clearly using blue or black ink

Name Professional Credentials

JCAHPO IDATPO Member Date of Birth (mmddyy)

Home Address

City State (Province) Zip (Postal Code) Country

Home Telephone ( ) E-mail (required for handoutsevaluations)

PracticeBusiness

Address

City State (Province) Zip (Postal Code) Country

Work Telephone ( ) Fax ( )

PAyMENT INFORMATION

o Check enclosed (payable to JCAHPO US Funds) o VISA o MasterCard o Discover o American Express

The following information is required to process credit card orders

______________-______________-______________-______________ __________________ _______ _______ ____________________Credit Card Number Security Code Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address

Name as it appears on credit card (please print)

Cardholderrsquos Signature X

(3 or 4 digits on front or back of credit card)

A link to course handouts will be e-mailed to registrants one week prior to the meeting date

I wish to register forAll check payments must be in US funds and drawn on a US bank

o Registration o One-year ATPO Membership (receive ATPO member price) $7500o JCAHPO Certified or ATPO Members $19500o Other registrants $22000

o Group discount o JCAHPO Certified or ATPO Members $18500o Other registrants $21000

o Additional Onsite Registration Fee $5000 Fee added to any registration package selected when purchased onsite

o Please add a $_________contribution to the JCAHPO Education and Research Foundation $____________

TOTAl $____________

Group Discount applies when 3 or more OMP from one clinic register for a meeting Registration forms must be sent together

bull Register Online httpwwwjcahpoorgregistrationbull Mail form and payment to

JCAHPO - 2025 Woodlane Drive St Paul MN 55125bull Fax this completed form to (651) 731-0410 (Credit card charges only)

Special Dietary Needs Please indicate dietary restrictions belowo Kosher o Vegetarian o Gluten-free

IN CASE OF EMERGENCY PLEASE NOTIFY

______________________________ (_____) _______________ Name Telephone Number

Your Ad Here

2016 Regional CE Programs February 5 ATPOKCSee Regional Meeting

March 4 Salt Lake City UT ndash in conjunction with UOS

March 12 Costa Mesa CA

April 9 Rochester MN

April 30 Dallas TX

April 30 Glade Springs WV ndash in conjunction with WVAEPS

May 6-9 ASCRS New Orleans LA

May 13 Vancouver BC - in conjunction with BCEPS

June 4 Kiawah SC ndashin conjunction with MUSC Storm Eye Institute

June 10-11 Orlando FL ndash in conjunction with FSO

August 13 San Francisco CA - in conjunction with ASRS

September 17 Cleveland OH - in conjunction COPS and ATPO

September 23-24 Greensboro NC ndash in conjunction with NCSEPS

October TBD ATPO ndash Annual Buffalo CE Conference

October 14-16 Chicago IL ndash 44rd Annual ACE Meeting in conjunction with AAONovember 5 New York NY - in conjunction with OSN-NY

(800) 284-3937 middot wwwjcahpoorg

Your Logo Here

Please apply my donation to (check one)

Foundation General Fund (for use as most needed)

World Vision Fund

Scholarships and Grants (check one)

Training Program

Continuing Education

Certifi cation

Designated to a specifi ed fund as indicated below

Budd Appleton MD Memorial Scholarship Fund

Virginia S Boyce Endowment Fund

Barbara Cassin Memorial Fund

C Douglas Memorial Scholarship Fund

Peter Y Evans MD Scholarship Fund

Alice O Gelinas Endowment Fund

Arthur H Keeney MD Memorial Fund

Harold A Stein MD Endowment Fund

Phil Weber Memorial Scholarship Fund

Name (please print)_______________________________________

Address______________________________________________

City_________________________________________________

State________________________________Zip_____________

Home Telephone (_______) ________ - ____________

Business Telephone (_______) ________ - ____________

E-mail Address_____________________________________________

Yes Please acknowledge my tax-deductible gift to the JCAHPO Education amp Research Foundation

Visionary Society $500 $700 $1000+

Contribution Amount $100 $300

Other $_______________

Pledge Amount $_____________________________

Enclosed $_____________________________

Balance $_____________________________

Balance to be paid $_____________________________

bi-annually quarterly monthly bi-monthly

Gifts over $300 may be pledged over a three-year period

Deduct my pledge from my credit card automatically as

indicated above until I notify to discontinue

Form of Donation Payment Check (made payable to the JCAHPO Education amp

Research Foundation)

VISAMASTERCARD DISCOVER AMEX

Account ____________________________________________

Expiration Date _____________________

Security Code (CVS) ___________________

____________________________________________________Signature

Please send me information on how I may reduce my estate taxes through a permanent Legacy Gift to the JCAHPO Education amp Research Foundation

Thank YouYour gift to the JCAHPO Education and Research Foundation is greatly appreciated Through generous support from individuals such as you advances continue to be made in the fi eld of eye care and talented professionals receive the training they need to deliver this care to people across the globe well into the future Consult with your tax professional as your gift to our 501(c)(3) nonprofi t foundation may be fully tax-deductible as a charitable contribution

How You Can Help

E-mail jcahpojcahpoorg middot wwwjcahpoorgfoundation

The Demand for Patient CareMore than 11 million Americans today suffer from

serious eye problems that cannot be improved by eye glasses or contacts including

bull Cataractsbull Diabetic retinopathybull Glaucomabull Retinal corneal and congenital diseases

The number of individuals over the age of 65 is expected to increase by nearly 20 in the next several decades But in spite of this projected growth neither the number of ophthalmologists or ophthalmic medical technicians (OMT) is expected to increase at this same fast pace

The Need for OMTOphthalmologists increasingly rely on the skilled

labor of certifi ed OMT freeing time for important patient diagnosis and treatment The contributions of highly skilled certifi ed OMT enable ophthalmologists and clinics to function more effi ciently They are an important part of a successful eye care team

Importance of Ophthalmic Medical Technicians

ldquoThe contributions of highly skilled

certifi ed OMT enable ophthalmologists and

clinics to function more effi cientlyrdquo

Advantages of Certifi ed OMTFour out of 5 ophthalmologists believe that certifi ed OMT make their practice more effi cient through

bull Triage screeningbull Trouble shooting

bull Increase in number of patients seen per hour

bull Effective patient fl owbull Increased doctor

productivity

Annual Gift RecognitionCorporations Foundations

Platinum $10000+Gold $5000 - $9999Silver $1500 - $4999Bronze $500 - $1499

Individuals SocietiesChairmanrsquos Award $10000+Presidentrsquos Circle $5000 - $9999Directorrsquos Circle $1000 - $4999Fellow $500 - $999Sustaining $100 - $499Friend $5 - $99

Visionary Society designation accorded to individuals contributing $500 or more annually

Cumulative Gift Recognition(total contributions since 1990)

Hall of Fame $200000+Leader $100000 - $199000Partner $50000 - $99999Benefactor $25000 - $49999Patron $20000 - $24999Torchbearer $15000 - $19999Pace Setter $10000 - $14999Pioneer $5000 - $9999

Individuals and Societies only

Please check here if you do not wish to have your name published on the contributor list

2025 Woodlane DriveSt Paul Minnesota 55125-2998

(651) 731-2944 (800) 284-3937E-mail jcahpojcahpoorg

wwwjcahpoorg

EDUCATION amp RESEARCH FOUNDATION

For Excellence in the Future of Eye Care

EDUCATION amp RESEARCH FOUNDATION

wwwjcahpoorgfoundation

The mission of the JCAHPO Education amp Research Foundation

is to expand and strengthen the delivery of eye care

Scholarships and GrantsThe Foundation provides tuition assistance for

students in ophthalmic training programs certifi cation examination fees and continuing education course fees Guidelines and applications for all scholarships and grants are available at wwwjcahpoorgfoundation

Special JCAHPO Projectsbull Computerized testingbull Online educationbull New certifi cationsbull Regional specialty CE programsbull International training programs and curriculum

Administrative costs of the Foundation are assumed by JCAHPO

JCAHPO certifi cation examinations are accredited by the National Commission for Certify-ing Age (NCCA) and a member in good standing of the National Organization Competency Assurance (NOCA)

All contributions to the Foundation are deductible for Federal Income Tax purposes to the maximum level provided by law

Corporations and Foundations - $858736

CommissionersFoundation Board - $345880

SponsorsCertifi cantsOthers - $236560

JCAHPO Vendors - $30559

JCAHPO Staff - $21533

Combined Federal Campaign - $6833

Member Organizations - $87172

Foundation Contributors

2025 Woodlane DriveSt Paul Minnesota 55125-2998(651) 731-2944 bull (800) 284-3937

EDUCATION amp RESEARCH FOUNDATION

What is JCAHPOThe Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPOreg) was established as a not-for-profit organization in 1969 to offer certification and continuing education opportunities to ophthalmic allied health personnel Since then more than 25000 ophthalmic health professionals in the US Canada and around the world have earned JCAHPO certification

JCAHPOrsquos mission is to enhance the quality and availability of ophthalmic patient care by promoting the value of qualified allied health personnel and by providing certification and education

JCAHPO certifies ophthalmic allied health professionals at four core levels middot Certified Ophthalmic Assistant (COAreg)middot Certified Ophthalmic Technician (COTreg)middot Certified Ophthalmic Medical Technologist (COMTreg)middot Corporate Certified Ophthalmic Assistant (CCOAreg)

Employers and peers recognize JCAHPO credentials as validation of an individualrsquos knowledge experience and commitment to the ophthalmic field

The Essential Credential in Eye Care

What do the experts say about CCOA certificationldquoThis CCOA course should be part of any corporate training curriculum where sales and marketing personnel are interfacing with ophthalmic professionals It will increase their credibilityhellipand lsquoraise the barrsquo for corporate trainingrdquo

Larry J Brunatti CCOA Retired Pharmaceuticals Professional

ldquoDoctors are busy professionals they donrsquot have time for lsquosalespeoplersquo but they are always interested in learning I have long been an advocate of training the sales team to be educators not salespeoplerdquo

Robert M Kershner MD FACS Director of Cataract and Refractive Surgery

Eye Laser Center Tucson Arizona USAUniversity of Utah Moran Eye Center

For more information regarding CCOA eligibility and application information please visit JCAHPOrsquos Web site at wwwjcahpoorg and click on ldquoCertificationrdquo

2025 Woodlane Drive bull St Paul MN 55125-2998 bull USA (651) 731-2944 bull (800) 284-3937 bull wwwjcahpoorg

The edge yoursquove been looking for

(800) 284-3937 bull wwwjcahpoorg

CCOAreg Corporate Certified

Ophthalmic Assistant

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 9: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

Year-Round Marketing Opportunities

ldquoBe Seenrdquo Broadcast at Regional CE Programs $500 (per day)Description ldquoCommercial Spotsrdquo are available that feature your ad logo or video (up to ten seconds) on a continuous loop at Regional CE Programs

Benefit ldquoCommercial Spotsrdquo are shown before during and after the program in the classroom

Video Specifications FlashVideo Files (swf fla flv avi mov wmv) 800 px wide by 600 px tall 24 fps (frames per second) 10 seconds in length

Materials Due Varies by date of program call for details

JCAHPO Website Banner Ad $12000-one year $8000-six months $6000-three monthsDescription This is JCAHPOrsquos official website (wwwjcahpoorg) which is the most visited and most viewed resource for all ophthalmic medical personnel Your company has big things to say make sure your message is heard

Circulation JCAHPOrsquos website is viewed more than 150000 times a year by ophthalmic technicians ophthalmologists and ophthalmic clinic managers

An ad on JCAHPOrsquos homepage includes a logo message and direct link to your website

Specifications Side Banner Ad 580 pixels x 112 pixelsBottom Banner Ads 570 pixels x 125 pixels

(800) 284-3937 middot wwwjcahpoorg

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 10: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

EyeLights Newsletter AdDescription JCAHPOrsquos quarterly newsletter is emailed to over 30000 JCAHPO certificants amp affiliates It is circulated three times a year and can also be viewed on our website for one year then is archived in the ldquoNewsrdquo section of the website for another four years

Benefit Advertise in the most-viewed ophthalmic newsletter in the field

A Banner Ad on JCAHPOrsquos newsletter includes a logo message and direct link to your website

Cost Three issues $6000

Two issues $4000

One issue $2500

Specifications Banner Ad 580 pixels x 112 pixels

Refinementsreg Series

The Refinements are a series of print-based educational modules that include a quiz approved for 1 JCAHPO Group A credit which can be used towards a certificantrsquos recertification They are a popular choice of self-study

Cost $2000 per issue

Specifications Cover placement 3rdquox1rdquo

Materials Due Varies - Please call for publishing dates

Your Logo Here

Your Banner Ad Here

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 11: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

Year-Round Marketing Opportunities

(800) 284-3937 middot wwwjcahpoorg

ATPO Viewpoints Magazine AdDescription The Viewpoints Magazine is published by the Association of Technical Personnel in Ophthalmology Inc (ATPOreg) Viewpoints features information for ophthalmic technicians including informative ophthalmic case studies pertinent practice information and features the Harold A Stein MD Best Scientific Paper awarded each year by JCAHPO ATPO invites submissions of advertising pertaining to products or services used in ophthalmology All advertising submitted for publication in Viewpoints are subject to a peer review and acceptance For more information contact ATPO at (800) 482-4858

Benefits Feature your company or product in a respected publication that goes to all 1600 ATPO members

Materials Due Call for details

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 12: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

Please return to JCAHPOATPO bull 2025 Woodlane Drive St Paul MN 55125Fax (651) 731-0410 (Credit Card Orders Only) Tel (800) 284-3937 ext 229 E-mail janicejcahpoorg

2016 JCAHPOATPO Sponsorship Agreement FormPlease provide the following information

Company Name________________________________________________________________________________________________

Contact Name (please print)______________________________________________________________________________________

Address_______________________________________________________________________________________________________

CityStateZip_________________________________________________________________________________________________

Phone__________________________________________________________Fax___________________________________________

Web Address___________________________________________________________________________________________________

Please email an electronic copy of your company logo (300 dpi JPG or pdf 10 mg max) to janicejcahpoorg

PAYMENT INFORMATION

Check enclosed (All check payments must be in US funds and drawn on a US bank)

VISA MasterCard Discover American Express

The following information is required to process credit card orders

_______________-_______________-_______________-_______________ __________________ Credit Card Number Security Code (3 or 4 digits on front or back of credit card) ___________ ___________ _____________________________ Expiration Date Cardholderrsquos Zip Code

Cardholderrsquos Address___________________________________________________________________________________________

Name as it appears on credit card (please print)_______________________________________________________________________

Cardholderrsquos Signature X________________________________________________________________________________________

E-mail________________________________________________________________________________________________________

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email

Page 13: Introduction - JCAHPOdocuments.jcahpo.org/documents/Mediakit/2016_JCAHPO_Mediakit.pdf- ACE Bulletin mailed annually to over 40,000 ophthalmic professionals and ophthalmologists (800)

(800) 284-3937 middot www jcahpoorg

2016 JCAHPOATPO Sponsorship Price List

JCAHPO

Unrestricted Educational Donation $____________ JCAHPO ATPO

ACE Program Marketing Opportunities Amount

Tote Bags $10000

Exhibit Table $1800

Personalized Pens $2500

Tote Bag Flyer Inserts $2000

ldquoBe Seenrdquo Broadcast $2500

Rolling Banner Ad $3500

ACE Program Bulletin Sponsor Entire Bulletin $10000

Cover Ads Inside front cover $5000 Outside back cover $5000 Inside back cover $3500

Inside page ads Full page - BW $1500 12 page - BW $750

Day-at-a-Glance 175 x 975 - BW $500

Keynote Lecture Sponsorship $5000

Sub-Specialty Sessions $3000

Workshops (each) $500

ATPO Annual Meeting Marketing Opportunities Amount Scientific Session $6200

Grand Rounds $5000

ATPO Keynote Lecture $2000

ATPO Member Reception $3500

Refreshment Breaks ndash Scientific Session $1600

Certification Exam Review Sessions $2000

Sunrise Welcome $1600

ldquoBe Seenrdquo Broadcast $500

Year-Round Marketing Opportunities Amount

Regional CE Program Regional Brochure Ad $1000per program

Onsite Flyers or Brochures $2000per program

ldquoBe Seenrdquo Broadcast $500

JCAHPO Website Ad One-year $12000

Six months $8000

Three months $60000

Eyelights Newsletter Advertisements Banner Ads Three Issues $6000

Two Issues $4000

One Issue $2500

Refinements Series $2000

ATPO Viewpoints Magazine Ad Call for Details

Company Name

Contact Name

Phone

Email