REGISTRATION PACKET

MEET THE SUMMIT DOCTORS, SCIENTISTS & SPEAKERS

Dr. HorowitzPrivate Practice

Dr. MoralesLyme Mexico

Dr. ShahIGeneX Laboratory

Olivia GoodreauFounder of The LivLyme Foundation, Creator/Inventor of TickTracker APP

WESTMINSTER, CO

SEPT. 22 & 23RD, 2018THE WESTIN HOTEL &

RESORT

Return by August 15th for “Early Bird” pricing. See Conference Ticket Information/Registration for details.

Dr. Rajadas Stanford University

Dr. SzerlongTicknology

Dr. Hamilton Researched Nutritionals

Dr. BaranchukQueens University, Canada

Dr. MaggiNorth Carolina State University

Dr. LewisNortheastern University

Jeff StaufferTickTracker Chief Insect Information Officer

Susan GreenChief Legal Council NatCap Lyme

Dr. PerronneUniversity of Versailles, France

Holly Ahern, Biologist, State University of New York,Adirondack

Dr. SapiUniversity of New Haven

Susanna VisserDrPH, MS Associate Director for Policy Division of Vector-Borne Diseases, CDC

Dr. DemioPrivate Practice

Dr. MelamedImmunoE

Dr. Kristen HoneyVice Chair, Tick-Borne Disease Working Group

Dr. ZhangJohn Hopkins University

WESTMINSTER, CO

SEPT. 22 & 23RD, 2018THE WESTIN HOTEL &

RESORT

SATURDAY, SEPTEMBER 22, 2018

SUNDAY, SEPTEMBER 23, 2018

Please join us for dinner & cocktails with an opportunity to be seated with a world renowned Lyme scientist or doctor for unparalleled access to these great Lyme minds.

The “Think Tank Dinner” is a once in a lifetime opportunity, not to be missed.

“THINK TANK DINNER” (INCLUDED IN PRICE OF CONFERENCE TICKET)

8:00 AM - 5:00 PM CONFERENCEIncludes Continental Breakfast, AM & PM Snacks, Lunch and “Think Tank Dinner”

5:30 PM - 6:30 PM6:30 PM

COCKTAIL PARTY (Cash Bar)

DINNER RECEPTION

8:00 AM - 12:30 PM CONFERENCEIncludes Continental Breakfast and AM Snack

For questions, please email registration@livlymefoundation.org

2-day “Early Bird” LivLyme Summit Conference: $250 Includes “Think Tank Dinner” on Saturday, Sept. 23 at 6pm

2-day LivLyme Summit Conference “Late Bird”: $350 (Registering after Aug. 15) Includes “Think Tank Dinner”

2-day LivLyme Summit Conference Student Admission: $150 (Must show valid student ID) Includes “Think Tank Dinner”

CONFERENCE TICKET INFORMATION/REGISTRATION

Name: Business Name:

Contact Person: Contact Phone #:

Email: Website:

Credit Card Authorization: Card Type: Visa Mastercard Amex (check one)

Cardholder Name: Address:

City: State: Zip:

Total Amount: $ Card Number:

Exp: CVV: Signature:

Westin Hotel & Resort Denver has rooms reserved for $139/night. See Hotel/Travel Information for details.

CME Accreditation with the purchase of a Conference Ticket: FREE (check one) M.D. R.N. D.O. R.PH. Other

Affiliation/Practice Name: Total Credited Hours:

To register online, go to LivLymeFoundation.org and click the ‘Conference’ link

To submit your registration by mail, fill out the form below and send to:The LivLyme Foundation c/o Summit Conference, 700 N. Colorado Blvd. #674, Denver, Colorado 80206

COMMUNITY PARTNER & EXHIBITOR REGISTRATION

$15,000“THINK TANK DINNER” SPONSORSHIPIncludes:• Your company name as the

main sponsor for the “Think Tank Dinner”

• An opportunity to speak about your company on stage for 3-5 minutes

• Stage & program recognition at dinner

• 2 Free exhibitor tables• 1 Full ad in program• 4 Complimentary

registrations• Company’s printed materials

in conference bags

$6,000 LivLyme Summit LUNCH SPONSORSHIPIncludes:• Your company

name as the main sponsor of the lunch on Saturday, September 22, 2018

• Program recognition• 1 Exhibitor table• 1 Full ad in program• 3 Complimentary

registrations • Company’s printed

materials in conference bags

$3,000 LivLyme Summit BREAKFAST (2 available, Saturday & Sunday)SPONSORSHIPIncludes:• Program

recognition• 1 Free exhibitor

table• ½ Page ad in

program• 2 Complimentary

registrations• Company’s

printed materials in conference bags

$2,500 LivLyme Summit BAG (10 available)SPONSORSHIPIncludes:• Your company

name/logo on all bags

• Program recognition• 1 Exhibitor table• ¼ Page ad in

program• 1 Complimentary

registration• Company’s printed

materials in conference bags

$1500 LivLyme Summit LANYARDS SPONSORSHIP(1 available)

Includes:• Your company name/logo

on all lanyards • Program recognition

$750 2018 LivLyme COMMUNITY PARTNER SPONSORSHIP WITH TABLE*

$300 2018 NON- PROFIT COMMUNITY PARTNER SPONSORSHIP WITH TABLE*

Name: Business Name:

Contact Person: Contact Phone #:

Email: Website:

Credit Card Authorization: Card Type: Visa Mastercard Amex (check one)

Cardholder Name: Address:

City: State: Zip:

Total Amount: $ Card Number:

Exp: CVV: Signature:

To register online, go to LivLymeFoundation.org and click the ‘Conference’ link

To submit your registration by mail, fill out the form below and send to:The LivLyme Foundation c/o Summit Conference, 700 N. Colorado Blvd. #674, Denver, Colorado 80206

* Sponsorship table & non-profit rate include 1 Summit conference ticket

ADVERTISING REGISTRATION

FULL COLOR CONFERENCE PROGRAM ADVERTISEMENTSNote: No cut lines, Full bleed ok, JPEG/PDF format, min 300 dpi best quality (All ads must be received by 8/15/18)

Name: Business Name:

Contact Person: Contact Phone #:

Email: Website:

Credit Card Authorization: Card Type: Visa Mastercard Amex (check one)

Cardholder Name: Address:

City: State: Zip:

Total Amount: $ Card Number:

Exp: CVV: Signature:

To register online, go to LivLymeFoundation.org and click the ‘Conference’ link

To submit your registration by mail, fill out the form below and send to:The LivLyme Foundation c/o Summit Conference, 700 N. Colorado Blvd. #674, Denver, Colorado 80206

FULL PAGE AD $125 Size: 8” W x 10” L

½ PAGE AD $100 Size: 8”W x 5” L

¼ PAGE AD $75 Size: 4” W x 5” L

BUSINESS CARD SIZE AD $75 Size: 3.5”W x 2” L

For questions, email registration@livlymefoundation.org

Denver International Airport (DEN)Travel Distance: Approximately 40.23 km/25.0 miles

Metro Taxi· Fee: Approximately 75 - 90 USD; one-way, up to four people.· Hours of operation: 24 hours· Travel Time: 35 - 50 minutes· Contact: (303) 333-3333· About: Taxis are readily available outside baggage claim or can be arranged in advance. Please keep the hotel address on hand for the driver.

SuperShuttle· Fee: $84 USD; one-way; up to three people.· Hours of operation: 24 hours· Travel Time: 35 - 50 minutes· Contact: (800) 258-3826· About: SuperShuttle service can be booked in advance or in-person at baggage claim. Please be aware that long lines in baggage claim can extend the wait time for tickets. Super Shuttle offers ride sharing as well as discounted group pricing.

HOTEL/TRAVEL INFORMATION

Traveling to The Westin Hotel & Resort

Shah’s Limo And Car Service· Fee: $80 USD; one-way, plus gratuity.· Hours of operation: 24 hours· Travel Time: 35 - 50 minutes· Contact: (303) 887-6107; Reservation Required· About: Private car service is available to and from Denver International Airport through Shah’s Limo and Car Service.

Uber/Lyft· Fee: Rates vary based on driver availability and demand. Rates will be provided prior to pick-up.· Hours of operation: 24 hours· Travel Time: 35 - 50 minutes· About: Ride-sharing apps such as Uber and Lyft provide swift transportation to/from the airport. Guests can request a ride on-demand by downloading the apps on their smart phones.

Rental Car Services· Avis Rent A Car (303) 342-5500· Budget Car Rental (303) 341-2277· Enterprise Rent A Car (303) 460-999· Hertz Car Rental (800) 654-3131

Parking Information· Self and Valet Parking Facilities $0-15 USD per day

Within Walking Distance· Guests will discover an abundance of attractions just a short walk from the hotel. Our location in the Westminster Promenade offers direct access to shops, cinemas, ice rinks, comedy clubs, restaurants, recreation centers, and more.

Note: Estimated charges, fees and schedules are not guaranteed by hotel. Driving distance may be affected by local conditions and traffic.

The Westin Hotel & Resort

The Westin Hotel & Resort, Denver has rooms reserved for $139 USD/night. Please mention The LivLyme Foundation to receive this reduced rate.

For reservations, please call: (303) 410-5000 For more information, visit westindenverboulder.com

Hotel Address:10600 Westminster BoulevardWestminster, Colorado 80020

CME Accreditation with the purchase of a Conference Ticket: FREE Valid for Doctors, RNs, DOs, Pharmacists, etc.

2-day “Early Bird” LivLyme Summit Conference: $250 Includes “Think Tank Dinner” on Saturday, Sept. 23 at 6pm

2-day LivLyme Summit Conference “Late Bird”: $350 (Registering after Aug. 15) Includes “Think Tank Dinner”

2-day LivLyme Summit Conference Student Admission: $150 (Must show valid student ID) Includes “Think Tank Dinner”

CONFERENCE TICKET INFORMATION/REGISTRATION

Name: Business Name:

Contact Person: Contact Phone #:

Email: Website:

Credit Card Authorization: Card Type: Visa Mastercard Amex (check one)

Cardholder Name: Address:

City: State: Zip:

Total Amount: $ Card Number:

Exp: CVV: Signature:

To register online, go to LivLymeFoundation.org and click the ‘Conference’ link

Westin Hotel & Resort Denver has rooms reserved for $139/night. See Hotel/Travel Information for details.

To submit your registration by mail, fill out the form below and send to:The LivLyme Foundation c/o Summit Conference, 700 N. Colorado Blvd. #674, Denver, Colorado 80206