49th Providers' Council Annual Convention & Expo Monday October 21, 2024
SPONSOR | EXHIBITOR | ADVERTISER Form
Contact Information
Please share the contact information for the point person within your organization that should receive information related to this event.
First Name
Last Name
Email
Phone
Did you exhibit, sponsor or advertise at any of the recent (last 3 years) Providers' Council Convention & Expo?
Yes
No
Are you a Providers' Council member?
Yes
No
Please select the name of your organization.
Please note: this is for internal use only. You may change the appearance of your organization's name at a later date.
Please select...
18 Degrees, Inc.
AAFCPAs
Action for Boston Community Development, Inc (ABCD)
Advocates
Advocates for Autism of Massachusetts
AgeSpan
AIDS Project Worcester
Almadan, Inc.
Alternatives for Community & Environment (ACE)
Amego, Inc.
American Training, Inc.
Amherst Survival Center
Amirah, Inc.
Arbor Associates, Inc.
Ascentria Care Alliance
Associates for Human Services, Inc.
Association for Behavioral Healthcare
Ball Consulting Group
BAMSI
Bay Cove Human Services
Beaverbrook STEP, Inc.
Behavioral Health RCM Solutions
Berkshire Area Health Education Center, Inc.
Berkshire County Arc, Inc.
Berkshire Family & Individual Resources (BFAIR)
BMIT - Boston Managed IT
Boston Center for Independent Living
Boston College School of Social Work
Boys & Girls Club Family Center
Bridge Over Troubled Waters
Bridges Homeward
Bridgewater State University School of Social Work
Bridgewell
Bridging Independent Living Together (BILT)
Bristol Elder Services, Inc.
Cambridge Savings Bank
Cape Abilities
Cardinal Cushing Centers
Casa Esperanza
Casa Myrna
Casner & Edwards
Catholic Charities Bureau of the Archdiocese of Boston
Catholic Charities Diocese of Fall River
CBIZ
Center for Human Development (CHD)
Center for Living & Working, Inc.
Centerboard
Centinel Financial Group
Central Boston Elder Services
Central Massachusetts Housing Alliance
CENTRO
Charm Medical Supply
Children's Services of Roxbury
Choice Community Supports, Inc.
Citizens
Citizens for Juvenile Justice
Citizens Inn, Inc. (Citizens for Adequate Housing, Inc.)
Citrin Cooperman
City Life/ Vida Urbana
CLA (CliftonLarsonAllen LLP)
Coastal Connections, Inc.
CohnReznick
Common Energy
Communities for People (CFP)
Community Caring
Community Counseling of Bristol County, Inc. (CCBC)
Community Resources for Justice (CRJ)
Community Teamwork
Community Work Services
COMPASS
Cooperative Production, Inc. (CO-OP)
Crystal Springs, Inc.
Curtis Strategy
Delta Projects, Inc.
Disability Resource Center, Inc.
Doc Wayne Youth Services, Inc.
Downey Side, Inc.
East Bay Pharmacy
East End House
Edgility Consulting
eHana LLC
Eliot Community Human Services
Emmaus, Inc.
Employment Options, Inc.
Enterprise Fleet Management
Family and Community Resources, Inc.
Family Independence
FamilyAid Boston
Father Bill's & Mainspring
Gandara Mental Health Center
Gardiner Howland Shaw Foundation
Greater Lynn Senior Services
Green Energy Consumers Alliance
GROW Associates Inc.
Hattie B. Cooper Community Center, Inc.
Heading Home, Inc.
Helix Human Services
High Point Treatment Center
Hildebrand Family Self-Help Center
Hingham Institution for Savings
Hirsch Roberts Weinstein LLP
HMEA (Horace Mann Educ. Associates)
Home Care Aide Council
Hope House
HopeWell Inc.
House of Possibilities
Housing Families, Inc.
Human Service Forum, Inc.
iMission
Immigrants' Assistance Center
Incompass Human Services
Independence Associates, Inc.
Insource Services, Inc.
Insperity
Institute for Health and Recovery
Inter-Church Council of Greater New Bedford, Inc.
Interim Executive Solutions
Interior Resources
International Institute of New England (IINE)
Jane Doe, Inc.
Jewish Family & Children's Service
Justice Resource Institute (JRI)
Kennedy-Donovan Center (KDC)
Key Program, Inc.
KeySteps, Inc.
Krokidas & Bluestein LLP
L'Arche Boston North
Lemberg Children's Center, Inc.
LifeConnections Specialized Support Services
LifeStream, Inc.
Lifeworks
Living Independently Forever, Inc.
Louison House
Lynn Shelter Association
M.O. L.I.F.E., Inc.
M&T Bank
MAAPS
MAB Community Services
Mainstay Supportive Housing and Home Care
Making Opportunity Count
Marblehead Counseling Center
Martin Luther King Jr. Family Services, Inc (MLK Family Services)
Mass COSH
Massachusetts Down Syndrome Congress
Massachusetts Health Council
Massachusetts Nonprofit Network
MassDevelopment
May Institute, Inc.
Mental Health Association, Inc. (MHA)
METCO, Inc.
Metro Housing Boston
MetroWest Center for Independent Living
Metrowest Community Health Care Foundation
Middlesex Human Service Agency, Inc.
Monomoy Community Services
More Than Words
Morgan Memorial Goodwill Industries
Mothers for Justice & Equality
Multicultural AIDS Coalition
Multicultural Community Services
Multicultural Wellness Center
MY TURN, Inc.
Mystic Valley Elder Services
Nancy Lurie Marks Family Foundation
New Bedford Women's Center
New England Business Associates (NEBA)
New England Village, Inc.
New North Citizens' Council
NFI Massachusetts
North Charles, Inc.
North East Educational and Developmental Support Center (NEEDS Center)
North Shore Community Action Programs
North Suffolk Community Services
Northeast Arc
Northeast Independent Living Program (NILP)
NuPath, Inc.
Nurtury, Inc.
Old Colony YMCA
On The Rise, Inc.
Open Sky Community Services
Opportunities for Inclusion
Opportunity Works
Parent/Professional Advocacy League (PPAL)
Parenting Journey
Partners in Child Development (formerly The Professional Center for Child Development)
Pathlight
Pathways for Change, Inc.
Pathways for Children, Inc.
Pear Associates
Pelmeds
People, Incorporated
Pernet Family Health Service
Philanthropy Massachusetts
Pine Street Inn
Portal To Hope
PRIDE, Inc.
Prosper Solutions
Providers' Council
Qualifacts
REACH Beyond Domestic Violence
Resonant Energy
RFK Community Alliance
River Valley Counseling Center
Riverbrook Residence
Riverside Community Care
Riverside Industries, Inc.
Road to Responsibility
Robbins Children's Programs, Inc.
Rockland Trust
Roman Music Therapy Services
Roxbury Youthworks, Inc.
RSM
Runkle Extended Day Programs, Inc.
SAFE Coalition, Inc.
Safe Passage, Inc.
ServiceNet, Inc.
Seven Hills Foundation
SHED, Inc.
SMOC
Sojourner House
Somerville-Cambridge Elder Services
South End Community Center, Inc.
South Shore Support Services
Southeast Center for Independent Living
Springfield Jewish Community Center
Square One
St. Mary's Center for Women and Children
Sunshine Village
Tapestry Health
TD Bank
Tech Networks of Boston
Tempus Unlimited
The Arc of Greater Brockton
The Arc of Greater Haverhill-Newburyport
The Brien Center
The Brookline Center for Community Mental Health
The Captive Advantage, LLC
The Care Center (Community Adolescent Resource & Education Center)
The Charles River Center
The Children's League of Massachusetts
The Dimock Center
The Edinburg Center
The Gavin Foundation
The Guild for Human Services
The Home for Little Wanderers
The Hyams Foundation
The Ledges Workshop
The Massachusetts Council on Gaming and Health, Inc.
The Price Center
The South Coast LGBTQ Network
The United Arc
Third Sector New England
Thom Child & Family Services
Thrive, Support & Advocacy
Toward Independent Living & Learning (TILL)
Transition House, Inc.
Triangle, Inc.
Turning Point, Inc.
UCP of MetroBoston, Inc.
UCP of Western Massachusetts
Unemployment Tax Management Corporation
United Way of Pioneer Valley
Urban League of Springfield
USI Insurance Services
Valley Educational Associates, Inc.
Venture Community Services
Viability
Victory Human Services
Victory Programs
Vinfen
Volunteers of America
Walker, Inc.
Walnut Street Center, Inc.
Wayside Youth & Family Support Network
Waystone Health & Human Services
Webster Five Cents Savings Bank
West End Day Nursery of New Bedford, Inc.
Western Massachusetts Training Consortium
Westport Associates, Inc.
William James College
WORK Inc.
Work, Community, Independence (WCI)
YMCA of Greater Boston
Your Part-Time Controller, LLC
Youth Villages, Inc.
Company/Organization Name
Website
Street Address
Apt/Suite
City/Town
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Phone
Which form(s) would you like to fill out?
Sponsorship Registration
Exhibitor Registration
Advertiser Registration
SPONSORSHIP Registration
Please choose your Sponsorship Level.
Please select...
Diamond (Convention Sponsor): $25,000
Platinum (Reception Sponsor): $15,000
Gold (Keynote Sponsor): $10,000
Sapphire (Technology Sponsor): $7,500
Silver (Luncheon Sponsor): $5,000
Bronze (Breakfast Sponsor): $3,000
Benefactor: $1,000
Friend: $500
*Sponsorship payments MUST be made by check.
Available sponsorship levels
.
Would you like to donate your tickets to help more human service professionals attend the Convention?
Please select...
Yes, donate all tickets associated with my sponsorship level.
No, I plan to use the tickets associated with my sponsorship level. I will email a list of attendees to ann@providers.org no later than August 30.
Sponsorship_Level_Calculated
EXHIBITOR Registration
EXHIBITOR Package
Which Exhibitor package are you purchasing?
Premier - Providers' Council Member ($1650)
Standard - Providers' Council Member ($825)
PREMIER: Larger (8 ft. by 3 ft.) exhibit table than the standard; Placement in high-traffic areas; Listing on Expo Bingo card; Full-page B&W advertisement in program book; Program Book; Two complimentary lunch tickets; Admission for two additional exhibit staff (total of four); Company logo, link to website and company description on Council’s website;
Social media shout outs in month leading up to event;
Acknowledgment in industry newspaper (print and digital). STANDARD: One 6 ft. by 3 ft. exhibition table; Admission for (2) exhibit staff; Listing on the Providers’ Council website; Listing in the Exhibitors’ Directory of the Convention program book. Please note: Lunch tickets are NOT included in Standard Exhibitor package.
Which Exhibitor package are you purchasing?
Premier - Non Member ($2300)
Standard - Non Member ($1150)
PREMIER: Larger (8 ft. by 3 ft.) exhibit table than the standard; Placement in high-traffic areas; Listing on Expo Bingo card; Full-page advertisement in program book; Program Book; Two complimentary lunch tickets; Admission for two additional exhibit staff (total of four); Company logo, link to website and company description on Council’s website; Social media shout outs in month leading up to event; Acknowledgment in industry newspaper (print and digital). STANDARD: One 6 ft. by 3 ft. exhibition table; Admission for (2) exhibit staff; Listing on the Providers’ Council website; Listing in the Exhibitors’ Directory of the Convention program book. Please note: Lunch tickets are NOT included in Standard Exhibitor package.
Desired Table/Space Location
Table location
will be assigned on a first paid, first-served basis. Table 1-35 reserved for Premier Exhibitors.
Second Choice for Table/Space Location
Third Choice for Table/Space Location
Please read the below terms to exhibiting with the Providers' Council at the 48th Annual Convention & Expo:
On the day of the Expo, exhibitors agree to:
- Arrive no later than 7:30 a.m. to prepare for the 8 a.m. Expo opening;
- Have available and distribute sufficient copies of a general brochure or similar literature to Expo visitors;
- Supply any audio-visual or similar equipment that is necessary. Electricity and Wifi are available for an additional fee;
- Staff the exhibit continuously from 8 a.m. to 4 p.m.;
- Pay the Marriott Copley Place hotel directly for any phone, internet or audio-visual needs;
- Only display materials which are fire-proof and conform to city, state and national fire prevention codes;
- Fit exhibits in the space provided (6 ft. by 3 ft. for standard exhibitors; 8 ft. by 3 ft. for premier exhibitors).
If your exhibit does not fit in the allotted space, the Providers' Council reserves the right to relocate you.
- The Providers' Council has exclusive relationships with several Endorsed Business Partners. Companies providing competing products or services are ineligible to participate in this event. Contact
Ann Schuler
at the Council with any questions regarding eligibility;
- Hold harmless the Providers' Council for any loss, theft or damage to the property of the exhibitor, their employees or designees, as well as any damage to property or injury to persons during the term of this agreement from any cause whatsoever by reason of the use or occupancy of the exhibit space by the exhibitors or their assigns, and the exhibitor shal indemnify and hold harmless the Council from all liablity which might ensue from any cause.
I agree with the above terms.
Would you like to participate in Expo BINGO?
Your table would be added to the BINGO sheet provided to every attendee.
To be eligible for BINGO prizes at the end of the convention, attendees must visit every table on the sheet for a stamp. Stamps will be provided for your table.
If you would like to participate, we do ask Premier exhibitors to contribute a prize of any size, examples include gift cards, a gift basket, swag, electronics, sports tickets, etc.
For any questions about Expo BINGO, please email
Ann Schuler
.
I
would
like to be a part of Expo BINGO.
I
would not
like to be a part of Expo BINGO.
Additional Exhibitor Needs
Exhibitor Needs
No additional needs
Electrical Outlet
WiFi
Please Note: Additional charge for electricity and WiFi will be available for purchase closer to event.
Exhibitor Staff Information
Please share the contact information of any other individual(s) who will be attending the in-person Convention & Expo on behalf of your company/agency.
Click "add another response" below to add more names.
Who will be physically staffing your exhibit table?
I will be staffing the exhibit table, and I am the
only
person staffing the table.
I will be staffing the exhibit table, and I will have others from my agency as well.
I will NOT be staffing the exhibit table, others from my agency will be at the table.
Additional attendees
First Name
Email
Last Name
Premier exhibitors receive two complimentary lunch tickets and up to 4 people may staff your table. Standard exhibitors can have up to 2 people staff expo table and lunch tickets must be purchased separately.
Lunch Tickets for Standard Exhibitors
Please select...
I do not want to purchase any additional lunch tickets
1 person
2 people
$75 per person
Lunch Tickets for Premier Exhibitors
*Note that two lunch tickets are automatically included with your Premier table.
Please only select additional lunch tickets if needed for additional table staff.
Please select...
I do not want to purchase any additional lunch tickets
1 person
2 people
$75 per person
ADVERTISER Registration
Please choose your Advertisement size.
Full Page COLOR Advertisement
$800
(Providers' Council Member)
Full Page B&W (7½ w x 10 h)
$400
(Providers' Council Member)
Half Page B&W (7½ w x 5 h)
$300
(Providers' Council Member)
Quarter Page B&W (7½ w x 2½ h)
$200
(Providers' Council Member)
Quarter Page B&W (3¾ w x 5 h)
$200
(Providers' Council Member)
Black and white .pdf files (unless purchasing full page color ad). If you are sending a .pdf file, please be sure the fonts are embedded. All artwork must be sent to convention@providers.org by Aug. 30, 2024.
Advertiser_Member_Calculated_Field
Please choose your Advertisement size.
Full Page COLOR Advertisement
$1050
(Not yet a member)
Full Page B&W (7½ w x 10 h)
$650
(Not yet a member)
Half Page B&W (7½ w x 5 h)
$550
(Not yet a member)
Quarter Page B&W (7½ w x 2½ h)
$450
(Not yet a member)
Quarter Page B&W (3¾ w x 5 h)
$450
(Not
yet a member)
Black and white .pdf files (unless purchasing full page color ad). If you are sending a .pdf file, please be sure the fonts are embedded. All artwork must be sent to convention@providers.org by Aug. 30, 2024.
Advertiser_NonMember_Calculated_Field
Sponsor/Exhibitor Information
Please upload a copy of your organization's logo.
If you do not upload one now, please send one to convention@providers.org as soon as possible.
Please share a 25-word description of your organization's programs and services.
Payment Information
Sponsorship
Amount Due:
$
Payment by
check is
required
.
Payment Options (
sponsorship is only able to be paid via check
):
Check (mail to Providers' Council 100 Crossings Blvd Suite 100 Framingham, MA 01702)
Exhibitor
and/or
Advertiser
Amount Due:
$
Payment Options:
Please select...
Check (mail to Providers' Council 100 Crossings Blvd Suite 100 Framingham, MA 01702)
Credit Card (ONLY available for Exhibitor and Advertiser)
Please note that payments made by credit card will incur a 3% convenience fee.
Invoice Request
If you would like a formal invoice, please check this box. This invoice will be emailed to the identified point of contact listed above.
Note:
An automatic confirmation email will be sent upon submission of this form. This email indicates the amount due, which may serve as your invoice.
Total Due: $
*If you receive an error message or are unable to complete this form, please contact Ann Schuler at
ann@providers.org
.
Paypal_Hidden_Fields
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