APPLICATION FOR GREEN PARK

2018 CHES National Conference
Smarter Infrastructure for Enhanced Patient Outcomes

September 16-18, 2018
St. John’s Convention Centre, St. John’s, NL

SUBMISSION DEADLINE
Your application must received no later than July 31, 2018 to be considered.

IMPORTANT
This is a proposal-only form and does not guarantee Green Park acceptance. All questions must be answered to the best of your ability in the space provided. Vendors are discouraged from providing marketing materials for review.

CONTACT PERSON

Please provide the information of the contact person responsible for managing this application. 

Contact Person*
Position/Title*
Address:*
E-mail Address*
Telephone*
-

COMPANY INFORMATION

Please enter the company name exactly as it appeared on your Exhibit / Sponsor application form.
For example, enter your formal Company name as opposed to an acronym or short form.

Company/Organization*
Product or Service Name*

GREEN SPACE DETAILS

Exhibit space availability is limited. Booth locations will be allocated by sponsorship level together with a first-come, first-served process, based on the date this signed contract is received by the CHES National Conference Office.
Some booth locations may be reserved for major sponsors.

Preferred Booth Location(s)
For multiple booths, please separate your preferred choices with a comma (i.e. First Choice 218,312)

First Choice*
Second Choice*
Third Choice*
Please provide, in your own words, a 75 word maximum description of your Green product or service.*
Please describe in detail the environmental benefit(s) your product or service will bring to the health service providers and the Canadian health care industry. Testimonials and/or case studies may be uploaded if relevant (doc, docx, pdf - max file size 2000KB).*
Upload Testimonials or Case Studies
Please describe sustainability initiatives your firm has undertaken internally.*
Has your company been found in violation or non-compliance with any local, provincial, or federal environmental law in the last five years?*
Violation or Non-compliance Details*
Do any of your products require MSDS?*
MSDS Details*
Do any of your products require special handling under an Occupational Health and Safety Act?*
Occupational Health and Safety Act Details*
Have any of your products received third-party environmental certification?*
Third-party Environmental Certification Details*
Are any of your displayed products made with recycled content?*
Product Recycled Content Details*
Will any of your products become hazardous waste?*
Hazardous Waste Details*

ACKNOWLEDGMENTS AND FORM SUBMISSION

Acknowledgment*
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