SOUTHWEST MEDICAL EQUIPMENT SUPPLIERS ASSOCIATION

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1 SOUTHWEST MEDICAL EQUIPMENT SUPPLIERS ASSOCIATION ASSOCIATE MEMBERSHIP APPLICATION/RENEWAL

2 Welcome to SWMESA! This packet of materials is your invitation to join SWMESA as an Associate Member! SWMESA is growing in strength and voice into one of the premier HME Associations in the United States. We look forward to continuing to serve our SWMESA Members and to protect our industry and our beneficiaries as we move forward and grow! We look forward to your active involvement as an SWMESA Associate Member. This year SWMESA continues to offer our Associate Members the opportunity to participate in SWMESA in a variety of Associate Membership levels. These different levels of Associate Membership offer significant benefits for Associate Member Companies. We believe, based upon the feedback of our current Associate Members that these four different levels of membership allow your company to benefit and achieve the highest rate of return on your membership dollars. The Associate Membership Levels are: SWMESA Premier Sponsor SWMESA Corporate Sponsor SWMESA VIP Sponsor SWMESA Associate Member These four levels of SWMESA Associate Membership offer a variety of outstanding benefits. Each of these membership levels is explained in detail on the following pages of this brochure. We look forward to working with each of you to ensure that your membership at any level exceeds your expectations and provides your company the very best return on investment of any of your association membership dues. Please contact your SWMESA office with any questions regarding your SWMESA Associate Membership. We welcome your questions and your suggestions. We encourage you to look at the enclosed materials to get a true feel for the benefits available to our SWMESA Associate Members. WE SINCERELY HOPE THAT YOU WILL CONSIDER BECOMING AN ANNUAL SPONSOR OF SWMESA AT THE VIP, CORPORATE OR PREMIER SPONSOR LEVELS. YOUR SPONSORSHIP IS INSTRUMENTAL IN SWMESA CONTINUING TO GROW AND PROVIDE THE BEST INFORMA- TION, EDUCATION AND UP TO THE MINUTE UPDATES FOR OUR SWMESA MEMBERS. WE CANNOT CONTINUE TO BE SUCCESSFUL WITHOUT THE OUTSTANDING SUPPORT OF OUR SWMESA ASSOCIATE MEMBERS. THANK YOU!

3 SWMESA Premier Sponsor SWMESA Premier Sponsor companies receive: SWMESA Associate Membership ($350 value). SWMESA Annual Conference Table ($250 value). Three (3) tickets to the Annual Conference Luncheon ($150 value). Premier Sponsor Logo is a direct link at the top of the SWMESA website homepage. Premier Sponsor is featured in the Premier Associate Member section at the top of the Associate Member page on the SWMESA website. Premier Sponsor Logo will be displayed on all SWMESA advertising & printed materials. Premier Sponsor may provide a one page insert to be included in all SWMESA recruitment mailings Premier Sponsor will receive SWMESA Membership list in excel format once per quarter. Premier Sponsor will receive the Annual Conference attendees list in excel format. Premier Sponsor is invited to present a company bio at the SWMESA Annual Conference. Premier Sponsor receives special recognition and signage at SWMESA Annual Conference. Premier Sponsor is allowed one broadcast per quarter to our membership through the SWMESA office. Premier Sponsor receives Preferential table placement at the SWMESA Annual Conference. **PLUS ALL BENEFITS SHOWN ON ASSOCIATE MEMBER PAGE. Cost of SWMESA Premier Sponsorship: $1,350.00

4 SWMESA Corporate Sponsor SWMESA Corporate Sponsor companies receive: SWMESA Associate Membership ($350 value). SWMESA Annual Conference Table ($250 value). Three (3) tickets to the Annual Conference Luncheon ($150 value). Corporate Sponsor Logo is a direct link at the bottom of the SWMESA website homepage. Corporate Sponsor Logo will be on all SWMESA advertising and printed materials. Corporate Sponsor is listed in the Corporate Sponsor section on the Associate Member page of the SWMESA website. Corporate Sponsor receives Preferential table placement at the SWMESA Annual Conference after Premier Sponsors. Corporate Sponsor receives special recognition at the SWMESA Annual Conference. Corporate Sponsor receives special signage at the Annual Conference. Corporate Sponsor is invited to present a company bio at the SWMESA Annual Conference. Corporate Sponsor will receive the SWMESA Membership list in excel format end of 1st quarter and end of 3rd Quarter. Corporate Sponsor is provided three broadcast s to membership through the SWMESA office during the year. **PLUS ALL BENEFITS SHOWN ON ASSOCIATE MEMBER PAGE. Cost of SWMESA Corporate Sponsor: $1,100.00

5 SWMESA VIP Sponsor SWMESA VIP Sponsor companies receive: SWMESA Associate Membership ($350 value). SWMESA Annual Conference Table ($250 value). VIP Sponsor receives two (2) tickets to the Annual Conference Luncheon ($100 value). VIP Sponsor is listed as a VIP Sponsor section on the Associate Member page of the SWMESA website. VIP Sponsor receives Preferential booth placement at the SWMESA Annual Conference after Premier and Corporate Sponsors. VIP Sponsor will receive special recognition and signage at the SWMESA Annual Conference. VIP Sponsor is invited to present a company bio at the SWMESA Annual Conference. **PLUS ALL BENEFITS SHOWN ON ASSOCIATE MEMBER PAGE. Cost of SWMESA VIP Sponsor: $850.00

6 SWMESA Associate Member SWMESA Associate Member companies receive: Weekly and ongoing updates regarding important legislative issues - this vital information will keep you abreast of the latest news and information in SWMESA and across the industry. Listing on the SWMESA Associate Member page of the SWMESA website. This page is open to the public and is one of the most popular webpages viewed by members and non-members. Access to the SWMESA Members Only pages of the SWMESA website. This area allows you access to the SWMESA membership database including member contact information. Buy one - get one free SWMESA NEWS YOU CAN USE Update Sponsorship. Please contact the SWMESA office for additional information. A $200 savings on the SWMESA Annual Conference Table cost versus non-members. An invitation to display at the SWMESA Annual Conference. Cost of SWMESA Associate Membership: $ Still one of the best values in the industry!

7 SWMESA Associate Sponsor/Membership Application Please return this form with your Sponsor/Membership Payment PLEASE UPDATE THE FOLLOWING INFORMATION IF DIFFERENT FROM CURRENT RECORDS COMPANY NAME: CONTACT NAME: ADDRESS: CITY: STATE: ZIP: PHONE: FAX: (Note: address required) Associate Sponsor/Membership Level: (Please clearly mark your Sponsor/Membership Level) ( ) SWMESA Premier Sponsor $1, ( ) SWMESA Corporate Sponsor $1, ( ) SWMESA VIP Sponsor $ ( ) SWMESA Associate Member $ I would like the following satellite offices or additional company representatives to receive all SWMESA fax and mail communications at $75.00 per site/representative. 1. Company Name (if different from above): Contact name: Address: City: State: Zip: Phone: Fax: 2. Company Name (if different from above): Contact name: Address: City: State: Zip: Phone: Fax: PAYMENT INFORMATION O Check Payable to SWMESA in the amount of: $ SWMESA accepts VISA, MASTERCARD & AMEX at by clicking on the JOIN US icon on the SWMESA Home page. *Dues may be deductible as an ordinary and necessary business expense, but only to the extent that they are not used for legislative purposes. Thus it is our best reasonable estimate that 90% of the dues you pay may be deductible. Contributions or gifts to SWMESA are not deductible as charitable contributions for federal income tax purposes. PLEASE RENEW/JOIN SWMESA ONLINE OR SEND COMPLETED FORM WITH YOUR CHECK TO:,

8 SAVE THE DATE 2017 SWMESA ANNUAL CONFERENCE Holiday Inn Hotel & Suites Phoenix Airport North 1515 North 44th Street Phoenix, AZ AUGUST 9-10, 2017 DID YOU KNOW? * That SWMESA Members are receiving weekly and ongoing information updates regarding important news that impacts your business via the SWMESA News You Can Use from the SWMESA office. * That SWMESA Associate Members may sponsor these important information updates at reduced promotional rates - call today to reserve. * That the SWMESA website ( includes a links page taking you to information you use every day. * That the SWMESA website includes a Resource Page for contacting your SWMESA Board Members and Members of Congress. * That SWMESA is a dues paying supporter of the Region D DME MAC Advisory Committee. * That SWMESA has direct access to the National Suppliers Clearinghouse Advisory Committee (NSCAC) through your SWMESA office. * That SWMESA is a state association member of AAHomecare. * That SWMESA members qualify for a $50.00 VISA Gift Card for new SWMESA member referrals. * That SWMESA Members and staff are instrumental in lobbying Congress to protect our industry. * That SWMESA Executive Director Rose Schafhauser represents you as a member and past chair of the AAHomecare State Leaders Council. The Southwest Medical Equipment Suppliers Association (SWMESA) Growing in numbers - Growing in voice - Growing through unity!