Vendor Registration Form

Don’t miss out! Participate in Henry Schein Canada's 2011 National Sales Conference. This is an opportunity that will bring together the largest, most successful dental and dental lab sales team in Canada.

As always, our National Sales Conference provides our vendor partners with a cost-effective way to meet and influence our dynamic team, while positively impacting your sales results in 2011.

This event will take place from March 4-6, 2011 at the Westin Harbour Castle Hotel in Toronto, ON.

Vendor Opportunities -- Please select from the options below:

Vendor Session
$11,500 CDN + applicable taxes

20' x 20' private meeting space in Exhibit Hall.
Two 8' draped tables with 12 chairs
Four 8' high draped sides
Participation in Vendor Sessions

Vendor Exhibit
$7,000 CDN + applicable taxes

8'x10' booth space in Exhibit Hall.
Two 8' draped tables with 6 chairs
Three 8' high draped sides
Participation in Vendor Exhibits

Number of Representatives Attending

in CDN funds + applicable taxes

Price includes single-room accommodations per person at the Westin Harbour Castle Hotel, all scheduled vendor meals, and all scheduled vendor evening events.

Vendor Events:
Friday, March 4: Registration and booth set-up from 9:00 am until 6:00 pm
Friday, March 4: Vendors are invited to attend an Opening Remarks/Welcome Reception @ 7:00 pm
Saturday, March 5: Vendor Exhibits and Sessions from 8:00am until 6:00 pm.
Saturday, March 5: Vendor Appreciation cocktail reception/dinner @ 6:00 pm.
Sunday, March 6: Booth tear-down from 7:00 am until 11:00 am / Departure

Representative Information

Representative #1		Email:
Arrival Date:		Departure Date:

Representative #2		Email:
Arrival Date:		Departure Date:

Representative #3		Email:
Arrival Date:		Departure Date:

Representative #4		Email:
Arrival Date:		Departure Date:

Representative #5		Email:
Arrival Date:		Departure Date:

Representative #6		Email:
Arrival Date:		Departure Date:

If there are any special dietary requirements please indicate here:

Contact Information

Company Name:
Contact Name:
Email:
Position/Title:
Address:
City:
Prov. / State:
Postal / Zip Code:
Phone #:
Fax #:

Payment Method

Please make cheque payable (in Canadian funds) to: Henry Schein Canada.

Print this form and send a copy along with your payment to:

Henry Schein Canada
ATTN: Elena Capellari
345 Townline Road
PO Box 6000
Niagara-on-the-Lake, ON L0S 1J0

Please print this page to maintain a copy for your records.

If you have any further questions, please contact Elena Capellari at 905.646.1711 ext. 3113 or click here to send her an email.

NOTE: You MUST click this button in order to complete your registration.