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Vendor Registration
Name of Company
Contact
Phone
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Fax
Email
Names of Representative(s) attending:
Number of Booths (One table & two chairs per booth)
Booth Space $250 per booth
All sponsor spots have been sold.
Hidden
Vendor type
Venue | $1,500 (includes booth)
Refreshment | $1,000 (includes booth)
Lunch | $2,500 (includes booth & information/advertising at lunch tables provided by sponsor)
Sponsorship recognition is placed in the conference packet.
Electrical Extension(s) needed
Yes
No
Booth space includes 1 table & 2 chairs, lunch for two and refreshments. Please add an additional $15.00 for each person if more than two will be present for lunch. NMMC/NMHS exhibitors may transfer the exhibit fee to Account # 9730-1050. Please mail Vendor Registration Fee to Amber Smith, Health Link, 808 Varsity Drive, Tupelo, MS 38801. Any questions may be sent to aesmith@nmhs.net or kstanford@nmhs.net.
Registration fee is due no later than August 31, 2022. No cash will be accepted.
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