August 3 - 5, 2012 - Divers Alert Network · 3 Expected Results Accreditation Information 3 - 4 About Hosting Companies and Sponsors 4 Principle Faculty 5 Attendee Information 5 -

www.WDHMed.org

ATTENDEE BROCHURE

THe Science of WounD care, Diving anD Hyperbaric MeDicine

3rd Annual Conference & ExpoAugust 3 - 5, 2012

The Ritz-Carlton, Palm Beach, Florida

• Pre-course Workshop on Decompression Illness (DCI)

• Advances in Hyperbaric Medicine and Wound Care

• Latest HBO Indication on Idiopathic Sudden Sensorineural Hearing Loss

• Medical Fitness and Diving, Issues Facing the “Working Diver”

• Diving Accidents: Prevention, Morbidity, and Mortality

To become involved in this upcoming event, please contact

Jaclyn MessersmithNonprofit Services Coordinator

Divers Alert Network 919.684.2948 x611

[email protected]

www.WDHMed.org

DIVERS ALERT NETWORK

The

RitzCarlton

Palm Beach, Florida


3rd Annual Conference & ExpoAugust 3rd - 5th

paLM beacH, fLoriDa

WELCOMEThe Science of Wound Care, Diving and Hyperbaric Medicine’s Third Annual Conference and Expo is an event like no other. Designed to provide state-of-the-art reviews of clinical problems, the latest research information, and best practices in the fields of hyperbaric medicine and wound care, this conference continues to draw attendees from around the world who are looking to expand their knowledge in these growing fields of medicine. The inclusion of diving talks and the pre-course on decompression illness also attract recreational, sport, and public safety divers, as well as dive medical specialists. The result of these interrelated fields coming together to share ideas and information include a dynamic and varied panel of expert presenters, an exciting exchange of ideas from different perspectives, and a diverse array of posters, symposiums, and exhibitors.

Highlights of this year’s conference include: • Pre-course workshop on decompression illness (DCI) • Advances in hyperbaric medicine and wound care • The latest HBO indication on idiopathic sudden sensorineural hearing loss • Medical fitness to dive • Diving accidents: prevention, morbidity, and mortality

The Science of Wound Care, Diving and Hyperbaric Medicine Conference and Expo will again be held at the lavish beach-front Ritz Carlton Hotel in Palm Beach, Florida.

We sincerely hope you will join us for what will surely be another rewarding and memorable conference. Register today; we look forward to seeing you in August!

TABLE OF CONTENTS 2 Welcome 3 Expected Results Accreditation Information 3 - 4 About Hosting Companies and Sponsors 4 Principle Faculty 5 Attendee Information 5 - 7 Schedule of Events 7 Floor Plan and Exibitor Information 8 Hotel & Travel 10 - 13 Registration Forms

HOSTING COMPANIES

Divers Alert Network (DAN)6 West Colony Place

Durham, NC 27705 USAPhone: 919.684.2948 Ext.611

Fax: 919.493.3040www.DAN.org

Wound Care Education Partners12900 Calais Circle

Palm Beach Gardens, FL 33410Phone: 561.271.3276

www.woundeducationpartners.com

The ritz-carlton, palm beach, florida



2REGISTER EARLY AND SAVE. please visit www.wdhmed.org to register online.

ABOUT: HOSTING COMPANIES

Divers Alert Network (DAN)DAN started as the National Diving Accident Network (DAN) in 1980 with the goal of establishing a 24-hour emergency hotline with access to physicians who were trained and experienced in the recognition, care, transportation, and recompression therapy of diving injuries. Within the first year alone, the idea proved so popular that a second, non-emergency line was created to handle the demand for medical and dive safety information.

In 1990, Divers Alert Network (DAN) became a nonprofit, 501(c)(3) dive safety organization. DAN’s mission is to help divers in need of medical emergency assistance and to promote dive safety through research, education, products, and services.

The DAN Emergency Hotline (+1.919.684.9111) is available 24 hours a day, 7 days a week, to assist with medical emergencies and to facilitate medical evacuation services. DAN also provides a Medical Information Line (+1.919.684.2948) during normal business hours for nonemergency questions.

To learn more about Divers Alert Network (DAN), please visit www.DAN.org.

Wound Care Education PartnersWound Care Education Partners is a professional medical education company comprised of specialized educators who are licensed and/or certified in their area of expertise. The company is focused on providing high quality and meaningful healthcare educational programs to medical facilities and clinics, home healthcare agencies and individuals. Combined, the group has decades of healthcare experience and more than 200 years of combined wound care and hyperbaric medicine experience. The team is represented by medicine, nursing and healthcare business.

To learn more about Wound Care Education Partners, go to www.woundeducationpartners.com.

3 REGISTER EARLY AND SAVE. please visit www.wdhmed.org to register online.

The Science of Wound Care, Diving & Hyperbaric MedicineThis course is intended for a wide audience of health care providers involved in advanced wound care management, hyperbaric and undersea medicine, including the registered nurse, nurse practitioner, clinical nurse specialist, physical therapist, physician, physician’s assistant, certified hyperbaric technologist, certified hyperbaric registered nurse and others.

The primary purpose of this Wilderness Medicine Jointly Sponsored Symposium, “The Science of Wound Care, Diving & Hyperbaric Medicine”, is to educate learners in all disciplines on the standards of care in the treatment of wounds, information and technological advances in scientific and technical diving and the impact on medicine in the face of dwindling resources for complications as a result of diving, in-depth discussions of meaningful use and the electronic health record requirement, UHMS Accreditation requirements being implemented for payment of services, advanced wound care management and core anatomy, wound healing physiology, wound etiology and interventions, and clinical hyperbaric medicine. The second purpose of the program is to address the decreasing availability of emergent hyperbaric medicine programs to treat the core hyperbaric indications for which the effect of hyperoxygenation is primary in the treatment of the disease process. The third purpose of this symposium is to provide an understanding of quality, including tools like Lean to help the practitioner improve the care model; to look at the latest compliance issues and regulatory changes impacting pressure ulcers and organizational accountability.

Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Wilderness Medical Society (WHMS) and Divers Alert Network (DAN). WMS is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Wilderness Medical Society (WMS) and the Divers Alert Network. The WMS is accredited by the ACCME to provide continuing medical education for physicians. The WMS designates this live activity for a maximum of 21.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity matches the learner’s current or potential scope of professional activities. This program is also approved by Wound Care Education Partners for 21 CNE & CEU through the Florida Boards of Nursing and Respiratory Care.

Disclosure Statement: Full Disclosure Statement All faculty members and planners participating in continuing medical education activities sponsored by WMS and DAN are expected to disclose to the participants any relevant financial relationships with commercial interests. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.

Nurses and Respiratory Therapists: Peters Education Group, LLC D/B/A Wound Care Education Partners is an approved provider of continuing nursing education (CNE) by the Florida Board of Nursing and Florida Board of Respiratory Care. 21 contact hours.

Physicians*: 19 AMA PRA Category 1 Credit(s)™ (CME)

Public Safety Divers: 19 Category A CEUs by the National Board of Diving & Medical Technology for CHTs and CHRNs

11 CEUs by The Florida Physical Therapy Association**

*This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Undersea & Hyperbaric Medical Society (UHMS) and Wound Care Education Partners. The UHMS is accredited by the ACCME to provide continuing medical education for physicians. The UHMS designates this live activity for a maximum of 19.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity. This activity matches the learners current or potential scope of professional activities.

**Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors.

ABOUT: SPONSORSBest Publishing Company

Best Publishing Company was founded in 1966 and has become the largest and one of the most respected publishers of educational books on diving, wound care, and hyperbaric medicine. We produce educational books along with professional periodicals such as the Wound Care & Hyperbaric Medicine magazine, a peer reviewed quarterly publication that covers all aspects of wound care, diving medicine, and hyperbaric oxygen therapy (HBOT). We also produce the Wound Care & Hyperbaric Medicine Calendar and Resource Guide which promotes diving, wound care, and hyperbaric courses, companies, eduation and products worldwide.

Our Mission is to publish educational books on all aspects of diving, wound care, and hyperbaric medicine. This includes books that are current and innovative, and most importantly, books that will help to promote medical education and diving safety throughout the world. For more information or to visit their online store, please go to www.bestpub.com

Wilderness Medical Society (WMS)

Since 1983, when three young physicians conceived the idea for the Wilderness Medical Society, a great deal has been accomplished. Early leaders identified areas of interest that have since become pillars of the curriculum for wilderness medicine education, including CME programs, medical school rotations, outdoor programs and FAWM criteria (see below). In addition to the Society’s annual meeting, it also sponsors topic specific meetings (e.g. Winter Wilderness Medicine and Dive Medicine) and the quadrennial World Congress in Wilderness Medicine.

The written word has been a cornerstone of the WMS since its early history. Today’s publications include, Wilderness Medicine (WM) magazine, Wilderness & Environmental Medicine, the Society’s peer-reviewed journal, Wilderness Medical Society: Practice Guidelines for Emergency Care, and the WMS Educational Lecture Series. The commitment of the WMS to embrace academic excellence and to deliver innovative services to its members shines with the inception and creation of the Academy of Wilderness Medicine. In one of the fastest growing segments of membership, Student Interest Groups, lies the hope for the future and sustaining the Society for years to come. For more information, please visit www.wms.org.


PRINCIPLE FACULTY

Dick Sadler, MD

NO IMAGE AT THIS TIME

Gretchen Dixon, RN, CCS, CHO

Jayesha Shah, MD

Tom Workman, CHT

Robert Snyder, DPM

Michael Strauss, MD

Pete Witucki, MD


Nicholas Bird, MD, MMM

Beth Eaton, MBA


Christopher Logue, MD


Caroline Fife, MD

David Charash, DO


Christopher Morrison, MD

Dan Orr, MS

Juan Bravo, MDJohn Feidmeier, DO

John Peters, FACHE

ATTENDEE INFORMATIONA daily schedule of events is listed below. Please be sure to note the special events taking place on Thursday, Friday, and Saturday evenings.

SPECIAL EVENTS Thursday, August 2nd: Pre-Course Workshop on Decompression Illness (DCI)This three hour pre-course workshop provides in-depth, practical field knowledge featuring lectures and instructional modules on topics including: * Causes and mechanisms of DCI, symptoms and onset times * Diagnosis and field management * Evacuation (when to consider) * Treatment options

Each lecture module will be followed by a 15 minute break-out session, which includes the presentation of case studies, the practical application of information learned, discussion, and self-evaluation.

Friday, August 3rd: Welcome ReceptionPlease join us on Friday evening for a welcome reception, open to all conference attendees and exhibitors, in Salons 2 and 3 (exhibits area). This reception provides a wonderful opportunity to peruse the exhibits in a low-key, comfortable atmosphere, while getting to know your fellow conference delegates.

Saturday, August 4th: Cocktail Reception and Gala DinnerThis evening promises to be relaxing, entertaining, and enjoyable. After attending two full days of the conference, unwind at our cocktail reception. Following cocktails, join us at the gala dinner, served to you as only that the Ritz Carlton can. Tickets to the gala dinner are in addition to your regular registration.

SCHEDULE OF EVENTSThursday, August 2nd 6:00 pm - 9:00 pm Pre-Course Workshop on Decompression Illness Salon 1

Friday, August 3rd 7:00 am - 8:00 am Continental Breakfast & Registration Salons 2 & 3 (Exhibits Area) 8:00 am - 9:00 am Symposium 1: The “Special” Diver – Salon 1 Medical Fitness to Dive – (Moderator: Nicholas Bird, MD, MMM) 9:00 am - 10:30 am Symposium 2: Unusual Wounds, Wound Bed Salon 1 Preparation in 2012 – Jayesh Shah, MD 10:30 am - 11:00 am Coffee Break Salons 2 & 3 (Exhibit Area) 11:00 am - 12:00 pm Symposium 3: 1 hour: Featured Talk: Microparticles – Salon 1 Latest DCS Research—Christopher Logue, MD


12:00 pm - 1:00 pmLunch

Salons 2 & 3 (Exhibit Area)


1:00 pm - 2:00 pm Symposium 4: HBO and The Walking Wounded — Salon 1 Juan Bravo, MD

2:00 pm - 3:15 pm Symposium 5: Diving Accidents Prevention, Salon 1 Morbidity and Mortality (Moderator: Pete Witucki, MD)

3:15 pm - 3:45 pm Coffee Break Salons 2 & 3 (Exhibit Area) 3:45 pm - 5:00 pm Symposium 6: Harnessing EHR “Meaningful Use” Salon 1 Requirements to Actually Help Patients – Caroline Fife, MD 6:30 pm - 7:00 pm Attendee Reception Flagler Hall (registration area)

Saturday, August 4th 7:00 am - 8:00 am Continental Breakfast & Registration Salons 2 & 3 (Exhibit Area) 8:00 am - 9:30 am Symposium 7: Treating Injured Divers: Salon 1 Impacts of Delivery System Differences and Reduced Access (Moderator: Michael Strauss, MD) 9:30 am - 10:45 am Symposium 8: Wound Care – Robert Snyder, DPM Salon 1

10:45 am - 11:15 pm Coffee Break Salons 2 & 3 (Exhibit Area) 11:15 am - 12:00 pm Symposium 9: My Choice of “The Best” 2011 Salon 1 Diving Medicine Article (last 5 years) (Moderator: Nicholas Bird, MD, MMM)

1:00 pm - 2:15 pm Symposium 10: Hyperbaric Medicine and Salon 1 Cancer Growth – John Feldmeier, DO 2:15 pm - 3:30 pm Symposium 11: Medical Fitness to Dive Salon 1 (Moderator: Christopher Logue, MD)

3:30 pm - 3:45 pm Coffee Break Salons 2 & 3 (Exhibit Area) 3:45 pm 5:00 pm Symposium 12: Medical aspects of diving in remote Oceans Ballroom and exotic areas (Moderator: Michael Strauss)

12:00 pm - 1:00 pmLunch

Salons 2 & 3 (Exhibit Area)

6:30 pm - 6:50 pmPre-Gala Reception

Flagler Hall (registration area)

7:00 pmGala Dinner

Oceans Ballroom

Sunday, August 5th 7:00 am - 8:00 am Continental Breakfast & Registration Salons 2 & 3 (Exhibit Area) 8:00 am - 9:00 am Symposium 13: Accreditation Update – Salon 1 Tom Workman, MS, CaSP, CHT

9:00 am - 10:00 am Symposium 14: Quality Assurance and Wound Care – Salon 1 Beth Eaton, MBA

10:00 am - 10:30 pm Coffee Break Salons 2 & 3 (Exhibit Area) 10:30 am - 11:30 pm Symposium 15: How to Effectively Integrate the Salon 1 Wound Center into a large Health System – Christopher Morrison, MD, FCCWS, FACHM 11:30 am - 12:30 pm Symposium 16: ICD-10 Preparation Salon 1 For A New Adventure – Gretchen Dixon, RN, CCS, CHO 12:30 pm Grab & Go Lunch Salons 2 & 3 (Exhibit Area)

FLOOR PLAN

EXHIBITOR INFORMATIONThis conference provides the unique opportunity for product and service providers to directly reach physicians and staff who work in the fields of hyperbaric medicine, wound care, and diving medicine. Very few other conferences provide you with the opportunity to showcase products and services to such a diverse audience. Exhibitors will have the chance to meet new delegates and make new contacts.

Meals are included with your exhibitor fee. Also, the exhibitor pass allows you to enter the conference symposium sessions.


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STAGE

Snack Bar

Snack Bar

Salon 1

tables

tablestables

tables

Salon 2 & 3Exhibit Area

exhibitor booths poster presentationschairs


HOTEL & TRAVELThe Ritz-Carlton, Palm Beach Indulge yourself in the cool ocean breezes and warm South Florida sunshine. The Ritz-Carlton, Palm Beach offers seven acres of lush tropical gardens and an exclusive beach for the ideal getaway. Located just steps from the blue waters of Florida’s alluring Atlantic Coast, this award-winning hotel near exclusive West Palm Beach invites you to a unique experience sure to touch all your senses.

The Ritz-Carlton, Palm Beach hotel features: two outdoor pools, oceanfront dining, the AquaNuts Ritz Kids facility and Coast Teens Lounge, a 3,000-square-foot oceanfront terrace with evening fire pit and so much more – all accompanied by our renowned personalized service.

Awards 2011: AAA Five Diamond Resort 2011 Forbes Five-Star 2011 Conde Nast Traveler Reader’s Choice Award 2011, #44 of Top 150 Mainland U.S. Hotels

BOOKINGYour conference staff have negotiated for you the amazing rate of $189/night for Resort View Room accomodations.

Online:For the convenience and preference of you, our guests, reservations for Resort View Rooms can be confirmed online by accessing the following link and inputting the conference dates:https://reservations.ritzcarlton.com/ritz/reservation/availability.mi?propertyCode=PBIRZ&groupCode=orforfa

By Phone: Guests are also welcome to contact the Ritz Carlton Regional Reservations Office at 888-856-4273 and speak with any of the reservation agents.

Group Code for the conference is ORFORFA (the letter “O”).

The

RitzCarlton

Palm Beach, Florida

The

Ritz100 South Ocean Blvd.

Palm Beach, FL 33462


TRAVELDriving Directions:From Palm Beach International Airport (PBI) - Coming from NORTH of the hotel 1. Follow signs from Palm Beach International Airport to I-95 Southbound (towards Miami). 2. Continue on I-95 South, exit at 10th Avenue heading Eastbound (Left turn). 3. Follow 10th Avenue heading east (toward the ocean). 4. Turn Right onto US 1 (Dixie Highway). 5. Turn left onto Lake Avenue (toward the ocean). 6. Follow Lake Avenue over the draw bridge until it ends at A1A. 7. Turn Right on A1A, heading south. 8. The hotel is located on the left after East Ocean Avenue. 100 South Ocean Blvd., Lantana, FL 33462

Miami International Airport (MIA) – Coming from SOUTH of the hotel 1. Follow signs from Miami International Airport to I-95 Northbound. 2. Continue heading North on I-95, exit Boynton Beach Blvd. heading Eastbound (Right turn). 3. Follow Boynton Beach Blvd. heading east toward the Ocean. 4. Turn Right onto US 1 (Dixie Highway). 5. Turn Left onto East Ocean Avenue. 6. Follow East Ocean Avenue over the drawbridge to A1A. 7. Turn Left on A1A/North Ocean Blvd. It will turn into South Ocean Blvd. 8. The hotel is located on the right. 100 South Ocean Blvd., Lantana, FL 33462

Fort Lauderdale/Hollywood International Airport (FLL) – Coming from SOUTH of the hotel 1. Start out going East on Terminal Drive. 2. Merge onto N Federal Hwy / US-1 S/ FL-5 S/ FL-A1A S toward Dania Beach/Hollywood. 3. Turn slight Right onto Griffin Rd. / FL-818 W. Continue to follow FL-818 W. 4. Merge onto I-95 N toward West Palm Beach. 5. Continue heading North on I-95, exit Boynton Beach Blvd. heading Eastbound (Right turn). 6. Follow Boynton Beach Blvd. heading east toward the Ocean. 7. Turn Right onto US 1 (Dixie Highway). 8. Turn Left onto East Ocean Avenue. 9. Follow East Ocean Avenue over the drawbridge to A1A. 10. Turn Left on A1A/North Ocean Blvd. It will turn into South Ocean Blvd. 11. The hotel is located on the right. 100 South Ocean Blvd., Lantana, FL 33462

* Lantana Bridge closed until November 2013 The local historic Lantana bridge, closest proximity to The Ritz-Carlton, Palm Beach, is undergoing a facelift and will be closed until November 2013. Please take the following alternate routes until the completion of the bridge improvement project: Local guests coming from the NORTH, please use the Lake Avenue Bridge in Lake Worth. Local guests coming from the SOUTH, please use the East Ocean Avenue Bridge in Boynton Beach.


2012 DELEGATE REGISTRATION FORM


3rd Annual Conference & ExpoAugust 3 - 5, 2012Divers Alert Network (DAN)

c/o Jaclyn Messersmith6 West Colony PlaceDurham, NC 27705 USAPh: 919.684.2948 Ext. 611Fax: 919.493.3040

Conference Use Only

received Date initials

payment processed Date initials

please complete details and fax to Dan at 919.493.3040 or mail to address listed above with your payment.

* for groups of 6 or more please contact Jaclyn Messersmith for a group discount.please note: Dan is a non-profit 501(c)3 scuba safety organization. our mission is to help divers in need with medical emergency assistance and promotediving safety. our non-profit services are comprised of three core components: Medicine, education and research. Dan nonprofit fein: 56-1696689

PHYSICIANS ALLIED HEALTHCARE PROFESSIONALS &

PRACTITONERS

PUBLIC SAFETY DIVERS

q FULL CONFERENCE8/2/12 - 8/5/12

EARLY REGISTRATIONPRICE: $475 (ends June 15th)

Price After June 15th: $525**

Includes:• Pre-course Workshop on Decompression Illness (Thursday pre-course Workshop is included with purchase of the full-conference registration!)

• 4-day entrance to conference (Thursday - Sunday)

• Access to exhibit hall

• Light breakfast and lunch (Friday - Sunday)

• Cocktail Hour

• Also includes CME and CNE credits for Thursday through Sunday programs

** At the door: $575. Gala dinner not included.

Quantity *


EARLY REGISTRATIONPRICE: $349 (ends June 15th)

Price After June 15th: $389**





• Cocktail Hour

• Also includes CME and CNE credits for Thursday thru Sunday programs

** At the Door: $450.Gala dinner not included.

Quantity *


REGISTRATIONPRICE: $349

10% discount on the full conference ticket per person

for PSD teams of 6 or more attending.





• Cocktail Hour

• Certificate of Attendance will be issued for the Workshop.

Gala dinner not included.

Quantity *

q ONE DAY PASSIndividual Price: $189

Includes:• One day entrance to conference• Access to exhibit hall• Light breakfast and lunch

Quantity



Quantity



Quantity

A LA CARTE

q PRE-COURSE WORKSHOP ON DECOMPRESSION

ILLNESSThursday, 8/2/12

6:00pm - 9:00pm

Individual Price: $69.00

Quantity

GENERAL ADMISSIONNot seeking credits


Individual Price: $375Includes:• 3-day entrance to conference (Friday - Sunday)

• Access to exhibit hall• Light breakfast and lunch (Friday - Sunday)

Quantity

q Saturday Night Gala Dinner$75 per person

Quantity


Includes:• One day entrance to conference.• Access to exhibit hall• Light breakfast and lunch

Quantity

Total: Signature Date






Conference Use Only



q General Admission: Full Conference: $375.00 x = Not Seeking Credits Quantity Total

EARLY REGISTRATION (Before June 15th)q Physician - Full Conference: $475.00 x = Thursday - Sunday August 2-5, 2012 Quantity Total

q Allied Healthcare - Full Conference: $349.00 x = Professionals and Quantity Total Practitioners Thursday - Sunday August 2-5, 2012

REGISTRATION (After June 15th)q Physician - Full Conference: $525.00 x = Thursday - Sunday August 2-5, 2012 Quantity Total

q Allied Healthcare - Full Conference: $389.00 x = Professionals and Quantity Total Practitioners Thursday - Sunday August 2-5, 2012

PUBLIC SAFETY DIVERSq Public Safety Divers - Full Conference: $349.00 x = Thursday - Sunday August 2-5, 2012 Quantity Total

ONE DAY ADMISSIONq Physician $189.00 x = Quantity Total

q Allied Healthcare Professionals and $149.00 x = Practitioners Quantity Total

q Public Safety Divers $149.00 x = Quantity Total

q General Admission: $149.00 x = Quantity Total

q Pre-Course DCI Workshop Only: $69.00 x = Thursday, August 2, 6:00 pm - 9:00 pm Quantity Total

q GALA DINNER $75.00 x = Saturday August 4, 2012 7:00 pm Quantity Total

* for groups of 6 or more please contact Jaclyn Messersmith for a group discount.please note: Dan is a non-profit 501(c)3 scuba safety organization. our mission is to help divers in need with medical emergency assistance and promotediving safety. our non-profit services are comprised of three core components: Medicine, education and research. Dan nonprofit fein: 56-1696689



C. Payment by Check or Money Order

Mail check payable in u.S. funds to Divers alert network

address:Divers alert network (Dan)c/o Jaclyn Messersmith6 West colony placeDurham, nc 27705 uSaph: 919.684.2948 ext. 611 / fax: 919.493.3040

D. Payment by Credit Card

q american express q Mastercard q visa q Discover

name on credit card

credit card number

expiration Date charge amount

authorization code Zip code

Signature

please note: Dan is a non-profit 501(c)3 scuba safety organization. our mission is to help divers in need with medical emergency assistance and promotediving safety. our non-profit services are comprised of three core components: Medicine, education and research. Dan nonprofit fein: 56-1696689

A. Delegate Information

company name

name

address

city

State Zip

phone fax

email

Website

B. Billing Information

contact name (required)

Title

company name

Mailing address

city

State Zip

phone fax

contact e-mail

(required for receipt of conference/expo updates)



F. Additional Delegates (if applicable). please print clearly the name/names of Delegates attending.

first Last Title

first Last Title

first Last Title

first Last Title

first Last Title

first Last Title






Conference Use Only



Conference Use Only

booth assigned

received

A. Website, Show Guide and Other Marketing Collateral

company name

name

address

city State Zip

phone fax

email

Website

company Logo Submitted q yes q nocompany bio Submitted (75 words max) q yes q no

B. Mailing Information (Please complete Contact Name, Phone, Fax and E-Mail. The remaining information only needs to be completed if different from Section A

contact name (required)

Title

company name

Mailing address

city State Zip

phone fax

contact e-mail

(required for receipt of conference/expo updates)

please complete details and fax to Dan at 919.493.3040 or mail to address listed below with your payment.

We hereby apply, subject to the rules & regulations as detailed on the event website www.wdhmed.org (booth contract) for the space in the exhibit area as follows;


D. Payment by Check or Money Order

Mail check payable in u.S. funds to Divers alert network

address:Divers alert network (Dan)c/o Jaclyn Messersmith6 West colony placeDurham, nc 27705 uSaph: 919.684.2948 ext. 611 / fax: 919.493.3040

E. Payment by Credit Card

q american express q Mastercard q visa q Discover

name on credit card

credit card number

expiration Date charge amount

authorization code Zip code

Signature

Booth Fees Standard (6’ table top) $1,250* Deluxe (10 x 10) $2,000* Super Deluxe (20 x 10) $4,000**exhibit rental does not include: Drayage, Decoration, Labor, guard/Security Service, cleaning or Janitorial Services, electrical, gas, Water, internet connection, Telephone connection.

C. Booth Allocation

Type of booth q Standard q Deluxe q Super Deluxe booth number

50% initial deposit required to secure booth and for The Science of Wound care, Diving & Hyperbaric Medicine conference & expo to promote your presence.

G. Signatory

Signed by Signature

company position Dated


2012 APPLICATION FOR EXHIBIT SPACE




Conference Use Only



GRAND TOTAL

Method of Payment

credit card q american express q Mastercard q visa q Discover

name on credit card

credit card number expiration Date

charge amount authorization code

address

city State Zip code

representative

Signature of representative

exhibitor name: booth #:

contact at booth: cell phone:

email:

*exhibit rental does not include: Drayage, Decoration, Labor, guard/Security Service, cleaning or Janitorial Services, electrical, gas, Water, internet connection, Telephone connection.


Electricity for 3 days Qty

120 volts, 20 amps $120.00

208 volts, 30 amps $170.00

208 volts, 60 amps $350.00

208 volts, 100 amps $400.00

Total:

Labor Charges Qty

booth attendant $35 per hour (4 hr minimum)

electrician/carpenter $60 per hour

banner Hanging $35 per banner

Exhibit Table Fee: a flat fee of $55.00 per exhibit will apply for exhibitors requesting (1) 6 ft. table, (1) waste paper basket, and (1) chair. This includes set-up and strike of the above mentioned items.

* There will be a surcharge of 50% for day of orders.

Equipment Rental for 3 days Qty

extension cords $30.00 each

Skirted 6’ Table (extra) $75.00 each

easels $25.00 each

raffle bowl $7.50 each

Modem Line $150 each + calls

Total:

Shipping & Receiving MaterialThe Science of Wound care, Diving and Hyperbaric Medicine conference & expo has negotiated that one box for your meeting will be charged at a reduced rate of $5.00 per box. please indicate how many boxes will be shipped to the hotel. boxes over 50 lbs are $35 per box.

Total boxes at $5.00 each Total boxes at 50 lbs+ at $35 each

Boxes & Meeting Materials may be delivered 72 hours prior to conference date for an additional 6% tax on every order.

NB: Any requirements for 208-volt electrical power must also include the part number and brand name of the male plug to be used.


2012 APPLICATION FOR EXHIBIT SPACE



You may know about Divers Alert Network (DAN) as a medical resource for you, but do you know all that DAN membership offers?

• Dive accident insurance • 24-hour emergency hotline• Alert Diver magazine• Medical evacuation• Travel insurance• Online educational

seminars• Medical information• And more!

Join Today! • www.DAN.org

“I renew my membership every year, and I never dive without DAN insurance. I’m a safer and more informed diver because of DAN.”

— Fran LeBlanc, DAN Member

A Resource for You.

DAN, Inc. is a 501(c)(3) nonprofi t organization. We promote dive safety through the creation of educational programs, dive medicine research and 24/7 access to medical information and evacuation assistance.

SAVE THE DATE!The Science of Wound Care, Diving and Hyperbaric Medicine

3rd Annual Conference and Expo

August 3–5, 2012

Ritz Carlton Hotel, Palm Beach, Fla.More information: www.DAN.org/events

DAN_HyperbaricDocs_full_ad_Jan2012_v2.indd 1 1/27/12 4:00 PM

www.WDHMed.org

The

Ritz100 South Ocean Blvd.

Palm Beach, FL 33462

Documents

August 3 - 5, 2012 - Divers Alert Network · 3 Expected Results Accreditation Information 3 - 4 About Hosting Companies and Sponsors 4 Principle Faculty 5 Attendee Information 5 -