Louisiana Oncology Society

Louisiana Oncology Society
President
David Oubre, M.D.
Pontchartrain Hematology Oncology
15752 Medical Arts Plaza
Hammond, LA 70403
(985) 419-0025
January 19, 2015
LOS/MOS Exhibitors –
President Elect
Chancellor Donald, M.D.
Louisiana Oncology Associates
4809 Ambassador Caffery Pkwy
Suite 110
Lafayette, LA 71301
(337) 235-7898
Treasurer
Howard Wold, M.D.
Hematology Oncology Life Center
605 Medical Center Drive
Alexandria, LA 71301
(318) 442-2232
Legislative Chair
John Rainey, M.D.
JMR Consulting
309 Coulee Croche Rd
Cankton, LA 70584
(337) 278-1112
Board Member
Michael Castine M.D.
Hematology Oncology Clinic
8595 Picardy Ave, Ste 400
Baton Rouge, LA 70809
(225) 767-0822
FAX: 225-769-5424
Immediate Past President
Roy Weiner, M.D.
Tulane Health Sciences Center
1430 Tulane Avenue, Box SL-68
New Orleans, LA 70112-2699
(504) 988-6061
Executive Director
Mary Jo Richards
8805 N 145th E Ave, Suite 203
Owasso OK 74055
(918) 261-8951 O
(918) 274-8354 F
maryjo@mjexecmgmt.com
The Louisiana Oncology Society would like to invite you and members of
the Louisiana Oncology Society to attend the 2015 Spring Meeting.
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Date: April 17-18, 2015
Place: Le Meridien New Orleans, 333 Poydras Street, New
Orleans, LA. Special rates for Louisiana/Mississippi Oncology
Society block of rooms ends March 26th 2015.
Agenda: TBA: Please see website, www.laoncologysociety.org
Exhibit set up: Friday, April 17th at 3:00 p.m. or Saturday, April
18th at 7:00 a.m.
Exhibit break down: At your discretion.
Signage will be on your assigned table and is based on your level
of corporate membership
Booth Fees:
Based on your level of LOS corporate membership.
Non-corporate Member
*Extra reps $300 each
$2000 (includes 1 rep)
Diamond Corporate Member
*Extra reps $150 each
Free (includes 5 reps)
Platinum Corporate Member
*Extra reps $200 each
$500 (includes 4 reps)
Gold Corporate Member
*Extra reps $225 each
$1000 (includes 3 reps)
Silver Corporate Member
*Extra reps $250 each
$1200 (includes 2 reps)
Bronze Corporate Member
*Extra reps $275 each
$1400 (includes 1 rep)
www.LAoncologysociety.org • www.Facebook.com/LAOncologySociety
Corporate Office • 8805 N. 145th E. Ave., Suite 203 • Owasso, OK 74055 • T 918.274.8374 • F 918.274.8354
Federal Tax ID # 72-1219540
*NOTE: An Industry Delegate (non-sales force) is an individual who is a direct employee of an
organization that produces and sells products. In cases where an industry delegate attends a
meeting and does not display we charge the “extra rep fee” that is outlined in our list of corporate
membership levels and procedures.
Fees include table, two chairs, table covering, waste basket, meeting registration, meals,
reception, name badges, etc.
LOS is a 501(c)3 nonprofit organization, with a tax identification number of 72-1219540. Please make
your check payable to LOS and mail to Louisiana Oncology Society, 8805 N 145th E Ave, Suite 203,
Owasso, OK 74055.
Warm regards,
Kristen Ray
Meeting Planner
Mississippi Oncology Society
Louisiana Oncology Society
LOS/MOS 2015 Spring Meeting
Please complete registration form for each person attending.
Name: _______________________________ Title: _______________________________
Name of Organization: ___________________________________________________________
Mailing Address: _______________________________________________________________
City_____________________________
Phone # _________________________
State: _________
Zip ______________
Fax # _______________________________
Name: _______________________________ Title: _______________________________
Name of Organization: ___________________________________________________________
Mailing Address: _______________________________________________________________
City_____________________________
Phone # _________________________
State: _________
Zip ______________
Fax # _______________________________
Name: _______________________________ Title: _______________________________
Name of Organization: ___________________________________________________________
Mailing Address: _______________________________________________________________
City_____________________________
Phone # _________________________
State: _________
Zip ______________
Fax # _______________________________
Name: _______________________________ Title: _______________________________
Name of Organization: ___________________________________________________________
Mailing Address: _______________________________________________________________
City_____________________________
Phone # _________________________
State: _________
Zip ______________
Fax # _______________________________
Name: _______________________________ Title: _______________________________
Name of Organization: ___________________________________________________________
Mailing Address: _______________________________________________________________
City_____________________________
Phone # _________________________
State: _________
Zip ______________
Fax # _______________________________
www.LAoncologysociety.org • www.Facebook.com/LAOncologySociety
Corporate Office • 8805 N. 145th E. Ave., Suite 203 • Owasso, OK 74055 • T 918.274.8374 • F 918.274.8354
Federal Tax ID # 72-1219540