2022 Women in Family Medicine Exhibitor & Sponsorship Opportunities Registration

Basic Information

* Primary Contact's First Name

* Primary Contact's Last Name

Degree / Designation

* Organization's Name (as it should appear on conference materials)

* Descritpion of Organization

* Organization's Website Address

* City

* Cell Phone Number of Primary Contact (including area code)

* Email Address of Primary Contact

On-site Exhibitor #1: First & Last Name, Degree/Designation, Title

On-site Exhibitor #2: First & Last Name, Degree/Designation, Title

Lunch Sponsor

$1,200

Pens

$250 Pens - Sponsor to provide 50 pens

Lanyards

$250 Lanyards - Sponsor to provide 50 lanyards

Networking Reception Sponsorship

$850

Breakfast Sponsorship:(2 sponsorships available)

$700

Exhibit Booth

$450